| Gerard Wasselle Dmd Llc | |
|
2480 E Commercial Blvd, Suite 2 Ft Lauderdale FL 33308-3330 | |
| (954) 928-1666 | |
| (954) 928-1895 |
| Full Name | Gerard Wasselle Dmd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2480 E Commercial Blvd, Suite 2, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Susan Wasselle (OFFICE MANAGER) |
| Authorized Official Contact | 9072231013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerard Wasselle Dmd Llc 2440 E Commercial Blvd Ft Lauderdale FL 33308-4027 Ph: (954) 771-1901 | Gerard Wasselle Dmd Llc 2480 E Commercial Blvd, Suite 2 Ft Lauderdale FL 33308-3330 Ph: (954) 928-1666 |
| NPI Number | 1619507779 |
|---|---|
| Provider Enumeration Date | 01/17/2020 |
| Last Update Date | 11/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619507779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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