Provider Demographics
NPI:1891828893
Name:KAREN B. WASKO, D.M.D.
Entity Type:Organization
Organization Name:KAREN B. WASKO, D.M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:B
Authorized Official - Last Name:WASKO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-672-9444
Mailing Address - Street 1:533 N YORK RD
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-2038
Mailing Address - Country:US
Mailing Address - Phone:215-672-9444
Mailing Address - Fax:215-672-9144
Practice Address - Street 1:533 N YORK RD
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-2038
Practice Address - Country:US
Practice Address - Phone:215-672-9444
Practice Address - Fax:215-672-9144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026266L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty