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Dental Corporation Of Wade Melvin Banner Dmd Inc
Dental Clinic/Center in La Verne, California
NPI 1669182333

Dental Corporation Of Wade Melvin Banner Dmd Inc is a Dental Clinic/Center based in La Verne, CA and is specialized in Dental. Dental Corporation Of Wade Melvin Banner Dmd Inc practices in La Verne, CA. The NPI Number for Dental Corporation Of Wade Melvin Banner Dmd Inc is 1669182333 and holds a License No. (California).

The current practice location address for Dental Corporation Of Wade Melvin Banner Dmd Inc is 929 Foothill Blvd Ste B, La Verne, CA and can be reached out via phone at 909-973-0099.

Location: 929 Foothill Blvd Ste B, La Verne, CA, 91750-3223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669182333
Provider Name
Dental Corporation Of Wade Melvin Banner Dmd Inc
Credential
Provider Entity Type
Organization
Address
929 Foothill Blvd Ste B, La Verne, CA, 91750-3223
Phone Number
909-973-0099
Fax Number
Provider Enumeration Date
12/02/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
929 Foothill Blvd Ste B
City
La Verne
State
California
Zip
91750-3223
Phone Number
909-973-0099
Fax Number
person
Provider Business Mailing Address Details
Address
929 Foothill Blvd Ste B
City
La Verne
State
California
Zip
91750-3223
Phone Number
909-973-0099
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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