Michael D Wasco Dds Llc | |
987c Cherry St E Canal Fulton OH 44614-9609 | |
(330) 854-4897 | |
Not Available |
Full Name | Michael D Wasco Dds Llc |
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Speciality | Dentist - General Practice |
Location | 987c Cherry St E, Canal Fulton, Ohio |
Authorized Official Name and Position | Michael D Wasco (DENTIST/OWNER) |
Authorized Official Contact | 3308545897 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael D Wasco Dds Llc 987c Cherry St E P.o Box 346 Canal Fulton OH 44614-9609 Ph: (330) 854-4897 | Michael D Wasco Dds Llc 987c Cherry St E Canal Fulton OH 44614-9609 Ph: (330) 854-4897 |
NPI Number | 1407146079 |
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Provider Enumeration Date | 04/15/2011 |
Last Update Date | 04/15/2011 |
Identifier | Type | State | Issuer |
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1407146079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 30.022812 (Ohio) | Primary |