Whalio Doctors

NPI 1881602837

Jay Bryan Wardius, DMD

Practitioner General Practice Dentistry Boothwyn, PA

Practice location

Address
3129 Naamans Creek Rd, Boothwyn, PA 19061-2521
Phone
(610) 494-3166
Fax
(610) 494-2840

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence DS027827-L (PA)

Registry record

NPI
1881602837
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Aug 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.