Cory A. Wanatick, DMD, PA
Cory A. Wanatick, DMD, PA is a Periodontics in Fort Lee, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.
- Licensed in
- NJ
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1563 Parker AveFort Lee, NJ 07024-7002
Phone: (201) 461-4133
Fax: (201) 461-0796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence DI018012 (NJ) |
|---|
Record details
| NPI number | 1508924754 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cory Wanatick — President · (201) 461-4133 |
| NPI enumerated | December 4, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1563 Parker Ave, Fort Lee, NJ 07024-7002 |
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