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General NPI Number Information
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NPI Number | 1427862317
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Entity Type | Organization
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Legal Business Name | VANITVELT & WENDLING ORTHODONTICS
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 1100 S LINDEN RD STE A
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City | FLINT
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State | MI
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Zip | 48532-3451
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Country | US
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Telephone | 810-733-3410
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Fax | 810-733-3412
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Provider Business Mailing Address
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Address Line | 1100 S LINDEN RD STE A
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City | FLINT
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State | MI
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Zip | 48532-3451
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Country | US
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Telephone | 810-733-3410
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Fax | 810-733-3412
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | LISA WENDLING
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Credential | DDS,MS
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Telephone | 810-733-3410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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