Individual
DR. MICHAEL L WASUITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
525 N FAIRFIELD RD, LAYTON, UT 84041
(801) 546-1012
(801) 546-2498
Mailing address
525 N FAIRFIELD RD, LAYTON, UT 84041
(801) 546-1012
(801) 546-2498
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1396499921
UT
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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