Healthcare Provider Details

I. General information

NPI: 1346296555
Provider Name (Legal Business Name): WANDA I SALDANA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 01/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 ALTAMONT AVE
SCHENECTADY NY
12303-3604
US

IV. Provider business mailing address

1875 ALTAMONT AVE
SCHENECTADY NY
12303-3604
US

V. Phone/Fax

Practice location:
  • Phone: 518-986-4355
  • Fax:
Mailing address:
  • Phone: 518-986-4355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number042832
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: