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Organization
GARY G. WADSWORTH, D.M.D., P.C.
Active
Organization
GARY G. WADSWORTH, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY G. WADSWORTH DMD (OWNER)
(570) 342-9246
Entity
Organization
Contact information
Practice address
327 N. WASHINGTON AVENUE, SUITE 904, SCRANTON, PA 18503-1543
(570) 342-9246
(570) 346-3434
Mailing address
327 N. WASHINGTON AVENUE, SUITE 904, SCRANTON, PA 18503-1543
(570) 342-9246
(570) 346-3434
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS025280L
PA
Other
Enumeration date
08/11/2006
Last updated
04/03/2012
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