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Individual
DR. ADAM WAKSOR
Active
Individual
DR. ADAM WAKSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
047013-1
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN014234
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02348781
—
NY
Enumeration date
08/01/2005
Last updated
01/28/2021
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