Individual
DR. DOUGLAS J WASSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
9200B NAVARRE PKWY, NAVARRE, FL 32566-2977
(850) 939-6040
Mailing address
2046 KILDARE CIR, NICEVILLE, FL 32578-7308
(850) 678-9014
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN 16877
FL
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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