Individual
DR. MICHAEL D WASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
987C CHERRY ST E, CANAL FULTON, OH 44614-9609
(330) 854-4897
Mailing address
987C CHERRY ST E, CANAL FULTON, OH 44614-9609
(330) 854-4897
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.022812
OH
1223G0001X
General Practice Dentistry
Primary
30.022812
OH
Other
Enumeration date
07/09/2008
Last updated
01/12/2011
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