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Individual

DR. MARION L. WAZNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
29001 CEDAR ROAD, SUITE 680, LYNDHURST, OH 44124
(440) 461-1157
(440) 461-1159
Mailing address
29001 CEDAR ROAD, SUITE 680, LYNDHURST, OH 44124
(440) 461-1157
(440) 461-1159

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16807
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0485596
OH
Enumeration date
10/03/2006
Last updated
02/26/2008
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