DR. Michael John Vasisko JR., D.D.S.

NPI #1023056652 in Salem, Virginia

Provider Information

NPI Number: 1023056652
Entity Type: Individual
Name: DR. Michael John Vasisko JR., D.D.S.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1970 ROANOKE BLVD
City: Salem
State: Virginia
ZIP Code: 24153-6404
Phone: (540) 982-2463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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