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Cory A. Wanatick,d.m.d.,p.a.
Periodontist in Fort Lee, New Jersey
NPI 1508924754

Cory A. Wanatick,d.m.d.,p.a. is a Periodontist based in Fort Lee, NJ and is specialized in Periodontics. Cory A. Wanatick,d.m.d.,p.a. practices in Fort Lee, NJ. The NPI Number for Cory A. Wanatick,d.m.d.,p.a. is 1508924754 and holds a License No. DI018012 (New Jersey).

The current practice location address for Cory A. Wanatick,d.m.d.,p.a. is 1563 Parker Ave, Fort Lee, NJ and can be reached out via phone at 201-461-4133 and via fax at 201-461-0796.

Location: 1563 Parker Ave, Fort Lee, NJ, 07024-7002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508924754
Provider Name
Cory A. Wanatick,d.m.d.,p.a.
Credential
Provider Entity Type
Organization
Address
1563 Parker Ave, Fort Lee, NJ, 07024-7002
Phone Number
201-461-4133
Fax Number
201-461-0796
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1563 Parker Ave
City
Fort Lee
State
New Jersey
Zip
07024-7002
Phone Number
201-461-4133
Fax Number
201-461-0796
person
Provider Business Mailing Address Details
Address
1563 Parker Ave
City
Fort Lee
State
New Jersey
Zip
07024-7002
Phone Number
201-461-4133
Fax Number
201-461-0796
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DI018012 (New Jersey)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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