MEDICARE: WUANSAH DDS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1962623231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WUANSAH DDS PC

Provider Business Mailing Address
First Line	:	PO BOX 690
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48601
Country	:	US
Telephone Number	:	989-753-1993
Fax Number	:	989-753-7959

Provider Business Practice Location Address
First Line	:	1928 EAST GENESEE
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48601
Country	:	US
Telephone Number	:	989-753-1993
Fax Number	:	989-753-7959

Authorized Official
Title or Position	:	FAMILY DENTIST
Name	:	MS. JULIANA ABA OFORI-DANKWA
Credential	:	DDS
Telephone Number	:	989-753-4445

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	08/22/2020

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