NPI | 1134477425 |
---|---|
Doing Business As | ROSS M. WEZMAR DDS PC |
Entity Type | Organization |
Authorized Contact | ROSS M WEZMAR Owner 570-346-7760 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: PA 17699) |
Enumeration Date | 2012-08-17 |
Last Update Date | 2013-01-18 |