Wayne Charles Radwanski DDS

NPI 1053411629 - Dentist - 122300000X

NPI Details
NPI 1053411629
Gender Male
Enumeration Date 09/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6905 W GATE BLVD STE B
AUSTIN TX, 78745-5141, US
Phone (512) 441-8922
Fax (512) 441-4959
Business Location
6905 W GATE BLVD STE B
AUSTIN TX, 78745-5141, US
Phone (512) 441-8922
Fax (512) 441-4959
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 13500
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According to our database, Wayne Charles Radwanski DDS NPI is 1053411629, taxonomy code is 122300000X and license number is 13500, license state is located at Texas. Wayne Charles Radwanski DDS physically located at 6905 W Gate Blvd Ste B, Austin TX, 78745-5141. NPI Number Wayne Charles Radwanski DDS has the Individual type.

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1053411629 NPI number is provided on an as is basis without warranty of any kind. 1053411629 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne Charles Radwanski DDS are for informational purposes only.