Individual
DR. JASON MICHAEL WANUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6035 SE FEDERAL HWY, STUART, FL 34997-8104
(772) 223-4003
Mailing address
255 MURCIA DR, 212, JUPITER, FL 33458-2747
(561) 694-5707
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN15511
FL
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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