Organization
MICHAEL D WASCO DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D WASCO (DENTIST/OWNER)
(330) 854-5897
Entity
Organization
Contact information
Practice address
987C CHERRY ST E, CANAL FULTON, OH 44614-9609
(330) 854-4897
Mailing address
987C CHERRY ST E, P.O BOX 346, CANAL FULTON, OH 44614-9609
(330) 854-4897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.022812
OH
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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