| Ross M Wezmar, Dds, Pc | |
|
98 South Church Street Hazelton PA 18201-6226 | |
| (570) 346-7760 | |
| (570) 344-2071 |
| Full Name | Ross M Wezmar, Dds, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 98 South Church Street, Hazelton, Pennsylvania |
| Authorized Official Name and Position | Ross M Wezmar (OWNER) |
| Authorized Official Contact | 5703467760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross M Wezmar, Dds, Pc 313 Mulberry St Scranton PA 18503-1221 Ph: (570) 346-7760 | Ross M Wezmar, Dds, Pc 98 South Church Street Hazelton PA 18201-6226 Ph: (570) 346-7760 |
| NPI Number | 1376019356 |
|---|---|
| Provider Enumeration Date | 10/17/2018 |
| Last Update Date | 10/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376019356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |