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Individual

DR. MICHAEL SCOTT WASSERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1770 1ST ST, #360, HIGHLAND PARK, IL 60035-3200
(847) 432-1416
(847) 433-6151
Mailing address
1770 1ST ST, #360, HIGHLAND PARK, IL 60035-3200
(847) 432-1416
(847) 433-6151

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
02/28/2007
Last updated
07/08/2007
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