Individual
DR. DAVID WAKSLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
402 W COUNTY LINE RD, LAKEWOOD, NJ 08701-1211
(732) 370-4204
Mailing address
14 EVIAN CT, LAKEWOOD, NJ 08701-4737
(732) 330-3173
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02506300
NJ
Other
Enumeration date
01/31/2013
Last updated
12/11/2013
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