DR. Jerry Wayne Wade, D.D.S.

NPI #1861405276 in Andrews, Texas

Provider Information

NPI Number
1861405276
Entity Type
Individual
Name
DR. Jerry Wayne Wade, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Aug 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
612 HOSPITAL DR
State
Texas
ZIP Code
79714-3615
Phone
(432) 523-7782

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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