Individual
DR. MORRIS WALTER WASYLENKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
370 CLINE AVENUE, MANSFIELD, OH 44907
(419) 756-3788
(419) 756-6643
Mailing address
370 CLINE AVENUE, MANSFIELD, OH 44907
(419) 756-3788
(419) 756-6643
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
OH 30-01-8800
OH
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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