JEREMY DAVID WANO

MYSTIC, CT
NPI1396167862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  8774121-9921)
Enumeration Date2014-01-17
Last Update Date2014-01-17
Business Address
Dr. JEREMY DAVID WANO D.M.D
75 STEAMBOAT WHARF APT 35
MYSTIC, CT 06355-2546
Phone number: 724-787-1661
Mailing Address
Dr. JEREMY DAVID WANO D.M.D
1 WAHOO DRIVE NAVAL BRANCH HEALTH CLINIC
GROTON, CT 06349
Phone number: 860-649-3129
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