DR. JEREMY WANO, D.M.D
Dentist - General Practice
Active
Individual
NPI: 1396167862
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 8774121-9921 (UT) |
Frequently Asked Questions
NPI 1396167862 is the National Provider Identifier for DR. JEREMY WANO, D.M.D, a Dentist - General Practice provider located in Mystic, CT. This NPI was enumerated on January 17, 2014.
DR. JEREMY WANO, D.M.D practices at 75 STEAMBOAT WHARF, APT 35, Mystic, CT 06355.
Quick Facts
- NPI
- 1396167862
- Type
- Individual
- Enumerated
- Jan 17, 2014
- Last Updated
- Jan 17, 2014
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