Individual
DR. CORY WANATICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
583 ROUTE 32, HIGHLAND MILLS, NY 10930
(845) 928-3348
Mailing address
153 FRANKLIN TPKE, MAHWAH, NJ 07430-1341
(201) 529-5999
(201) 529-0180
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043406-1
NY
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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