Provider Demographics
NPI:1215114673
Name:WINGARD, MARGARET M (DMD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:M
Last Name:WINGARD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 CANYON RD
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-1507
Mailing Address - Country:US
Mailing Address - Phone:626-446-8889
Mailing Address - Fax:626-446-9169
Practice Address - Street 1:312 E FOOTHILL BLVD STE A
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2579
Practice Address - Country:US
Practice Address - Phone:626-446-8889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA424501223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics