Individual
JAY BRYAN WARDIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3129 NAAMANS CREEK RD, BOOTHWYN, PA 19061-2521
(610) 494-3166
(610) 494-2840
Mailing address
3129 NAAMANS CREEK RD, BOOTHWYN, PA 19061-2521
(610) 494-3166
(610) 494-2840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS027827-L
PA
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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