Organization
GERARD WASSELLE DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WASSELLE (OFFICE MANAGER)
(907) 223-1013
Entity
Organization
Contact information
Practice address
2480 E COMMERCIAL BLVD, SUITE 2, FT LAUDERDALE, FL 33308-3330
(954) 928-1666
(954) 928-1895
Mailing address
2440 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4027
(954) 771-1901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
11/17/2020
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