Organization
GARY J WAYNE DMD,PA
Active
Organization
GARY J WAYNE DMD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY JON WAYNE D.M.D. (PRESIDENT)
(561) 443-7001
Entity
Organization
Contact information
Practice address
2500 N MILITARY TRL, SUITE 308, BOCA RATON, FL 33431-6344
(561) 443-7001
Mailing address
2500 N MILITARY TRL, SUITE 308, BOCA RATON, FL 33431-6344
(561) 443-7001
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN13403
FL
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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