| Organization Name: | FLORENA LLC |
| NPI Number: | 1073727293 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | R. ANGELA WANDERA (DR. ANGELA WANDERA) |
| Mailing Address: | 8785 Columbine Rd Eden Prairie |
| State: | MN US |
| Postal Code: | 553446695 |
| Phone Number: | 9529417393 |
| Fax Number: | 9529412162 |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | D11618 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MN |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |