Most Relevant Information
Provider Data
| NPI Number: | 1003800392 |
| Provider Name: | DARIN S. WASILESKI D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DN012531 |
Most Important Dates
| Enumeration Date: | 09/01/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2268 E MAIN ST
SNELLVILLE
GA
300783498
Practice Location Phone/Fax
| Phone: | 7709724436 |
| Fax: | 7709858810 |
Provider Mailing Location
PO BOX 365
SNELLVILLE
GA
300780365
Provider Mailing Phone/Fax
| Phone: | 7709724436 |
| Fax: | 7709858810 |