Individual
DR. JOHN J WASNIEWSKI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
262 FOX HUNT DR, BEAR, DE 19701-2536
(302) 832-1371
Mailing address
262 FOX HUNT DR, BEAR, DE 19701-2536
(302) 832-1371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G1-0001262
DE
Other
Enumeration date
06/21/2007
Last updated
08/27/2008
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