Organization
GARY J WAYNE DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY JON WAYNE DMD (OWNER)
(561) 443-7001
Entity
Organization
Contact information
Practice address
2500 N MILITARY TRL, SUITE 308, BOCA RATON, FL 33431-6344
(561) 443-7001
(561) 443-7087
Mailing address
2500 N MILITARY TRL, SUITE 308, BOCA RATON, FL 33431-6344
(561) 443-7001
(561) 443-7087
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13403
FL
Other
Enumeration date
06/07/2007
Last updated
11/03/2014
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