Individual
GREGORY P. WASKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5200 CASTOR AVE, PHILADELPHIA, PA 19124-1723
(215) 535-0558
(215) 535-0568
Mailing address
5200 CASTOR AVE, PHILADELPHIA, PA 19124-1723
(215) 535-0558
(215) 535-0568
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS023143L
PA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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