Organization
DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN STANFORD WAKEMAN D.D.S. (DENTIST)
(360) 378-5580
Entity
Organization
Contact information
Practice address
278 A ST, SUITE #1, FRIDAY HARBOR, WA 98250-7178
(360) 378-5580
(360) 378-5619
Mailing address
278 A ST, SUITE #1, FRIDAY HARBOR, WA 98250-7178
(360) 378-5580
(360) 378-5619
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009436
WA
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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