Organization
JOHN WASNIEWSKI III DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J WASNIEWSKI III DMD (OWNER)
(302) 832-1371
Entity
Organization
Contact information
Practice address
262 FOX HUNT DRIVE, BEAR, DE 19701
(302) 832-1371
(302) 832-9380
Mailing address
262 FOX HUNT DRIVE, BEAR, DE 19701
(302) 832-1371
(302) 832-1371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G1-0001262
DE
Other
Enumeration date
04/08/2015
Last updated
02/05/2019
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