Jonathan A Waasdorp DMD

NPI 1619105772 - Dentist - 1223P0300X

NPI Details
NPI 1619105772
Gender Male
Enumeration Date 06/29/2009
Last Updated 06/29/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
10112 VALLEY FORGE CIR
SUITE 112
KING OF PRUSSIA PA, 19406-1111, US
Phone (610) 783-0822
Fax
Business Location
10112 VALLEY FORGE CIRCLE
SUITE 112
KING OF PRUSSIA PA, 19406, US
Phone (610) 783-0822
Fax
Toxanomy
Taxonomy Code 1223P0300X
License State Pennsylvania
License Number DS037114
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According to our database, Dr. Jonathan A Waasdorp DMD NPI is 1619105772, taxonomy code is 1223P0300X and license number is DS037114, license state is located at Pennsylvania. Jonathan A Waasdorp DMD physically located at 10112 Valley Forge Cir, King Of Prussia PA, 19406-1111. NPI Number Jonathan A Waasdorp DMD has the Individual type.

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1619105772 NPI number is provided on an as is basis without warranty of any kind. 1619105772 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan A Waasdorp DMD are for informational purposes only.