Individual
MARION C WACHNICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3519 WHITE MOUNTAIN HIGHWAY, NORTH CONWAY, NH 03860-0980
(603) 356-5501
Mailing address
PO BOX 980, NORTH CONWAY, NH 03860-0980
(603) 356-5501
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2491
NH
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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