| NPI | 1992191720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J WASNIEWSKI Owner 302-832-1371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1-0001262) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2019-02-05 |