Gerard Wasselle Dmd LLC
NPI #1619507779 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1619507779
- Entity Type
- Organization
- Organization Name
- Gerard Wasselle Dmd LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 17, 2020
- Last Updated
- Nov 17, 2020
Practice Location
- Address
- 2480 E COMMERCIAL BLVD, SUITE 2
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33308-3330
- Phone
- (954) 928-1666
Authorized Official
- Name
- SUSAN WASSELLE
- Title
- OFFICE MANAGER
- Phone
- (907) 223-1013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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