Individual
JOHN DANIEL WAYAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
114 S STATE RD, SPRINGFIELD, PA 19064-1218
(610) 544-3777
Mailing address
1221 S BROAD ST APT 403, PHILADELPHIA, PA 19147-4445
(919) 699-0490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041281
PA
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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