DR. Jeremy David Wano, D.M.D

NPI #1396167862 in Mystic, Connecticut

Provider Information

NPI Number
1396167862
Entity Type
Individual
Name
DR. Jeremy David Wano, D.M.D
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.M.D
Enumeration Date
Jan 17, 2014
Last Updated
Jan 17, 2014

Practice Location

Address
75 STEAMBOAT WHARF
Address 2
APT 35
City
Mystic
ZIP Code
06355-2546
Phone
(724) 787-1661

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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