Organization
GARY G. WADSWORTH, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY G. WADSWORTH DMD (OWNER)
(570) 342-9246
Entity
Organization
Contact information
Practice address
327 N. WASHINGTON AVENUE, SUITE 904, SCRANTON, PA 18503-1543
(570) 342-9246
(570) 346-3434
Mailing address
327 N. WASHINGTON AVENUE, SUITE 904, SCRANTON, PA 18503-1543
(570) 342-9246
(570) 346-3434
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS025280L
PA
Other
Enumeration date
08/11/2006
Last updated
04/03/2012
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