| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 04/15/2011 |
| Last Update Date | 04/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407146079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30.022812 (Ohio) | Primary |