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1679592406
EVAN GUY WASSERMAN
LAKEWOOD, NJ
NPI
1679592406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 22DI01303200)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Dr. EVAN GUY WASSERMAN D.M.D.
301 MADISON AVE
LAKEWOOD, NJ 08701-3266
Phone number: 732-363-0177
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Mailing Address
Dr. EVAN GUY WASSERMAN D.M.D.
301 MADISON AVE
LAKEWOOD, NJ 08701-3266
Phone number: 732-363-0177
Copy
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