Individual
DR. GERARD W WASSELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2020 ABBOTT RD, SUITE 5, ANCHORAGE, AK 99507-3867
(907) 344-1990
(907) 344-4426
Mailing address
2020 ABBOTT RD, SUITE 5, ANCHORAGE, AK 99507-3867
(907) 344-1990
(907) 344-4426
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00836
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD2020
—
AK
Enumeration date
04/18/2007
Last updated
07/09/2007
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