Individual
WAYNE JOHNSTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
34 WOODLAND AVE, GARDNER, MA 01440-1622
(978) 632-6651
Mailing address
34 WOODLAND AVE, GARDNER, MA 01440-1622
(978) 632-6651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012
MA
Other
Enumeration date
11/17/2005
Last updated
07/08/2007
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