Individual
BRYAN SCOTT WAZBINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1035 E WILCOX AVE, WHITE CLOUD, MI 49349-8794
(231) 689-1608
(231) 689-3162
Mailing address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-5045
(231) 745-5031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021246
MI
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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