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Dr. Mark Albert Waggonner, DDS
General Practice Dentistry in Sun City, California
NPI 1578541355

Mark Albert Waggonner is a General Practice Dentistry based in Grand Terrace, CA and is specialized in General Practice. Mark Albert Waggonner practices in Sun City, CA and has the professional credentials of DDS. The NPI Number for Mark Albert Waggonner is 1578541355 and holds a License No. 24189 (California).

The current practice location address for Mark Albert Waggonner is 28401 Bradley Rd, Sun City, CA and can be reached out via phone at 951-679-6355 and via fax at 951-679-6355.

Location: 28401 Bradley Rd, Sun City, CA, 92313-5335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578541355
Provider Name
Mark Albert Waggonner
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
28401 Bradley Rd, Sun City, CA, 92313-5335
Phone Number
951-679-6355
Fax Number
951-679-6355
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
28401 Bradley Rd
City
Sun City
State
California
Zip
92586-3040
Phone Number
951-679-6355
Fax Number
951-679-6355
person
Provider Business Mailing Address Details
Address
28401 Bradley Rd
City
Sun City
State
California
Zip
92586-3040
Phone Number
951-679-6355
Fax Number
951-679-6355
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
24189 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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