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Wayne K. Tanaka, DDS
Oral and Maxillofacial Surgery (Dentist) in Loma Linda, California
NPI 1922159466

Wayne K. Tanaka is a Oral and Maxillofacial Surgery (Dentist) based in Loma Linda, CA and is specialized in Oral and Maxillofacial Surgery. Wayne K. Tanaka practices in Loma Linda, CA and has the professional credentials of DDS. The NPI Number for Wayne K. Tanaka is 1922159466 and holds a License No. 51201 (California).

The current practice location address for Wayne K. Tanaka is 11092 University Ct Rm 3306, Loma Linda, CA and can be reached out via phone at 909-558-4671 and via fax at 909-558-0285.

Location: 11092 University Ct Rm 3306, Loma Linda, CA, 92350-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922159466
Provider Name
Wayne K. Tanaka
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
11092 University Ct Rm 3306, Loma Linda, CA, 92350-0001
Phone Number
909-558-4671
Fax Number
909-558-0285
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0079700 05 CA
00SP18300 05 CA
institution
Provider Business Practice Location Address Details
Address
11092 University Ct Rm 3306
City
Loma Linda
State
California
Zip
92350-0001
Phone Number
909-558-4671
Fax Number
909-558-0285
person
Provider Business Mailing Address Details
Address
11092 University Ct Rm 3306
City
Loma Linda
State
California
Zip
92350-0001
Phone Number
909-558-4671
Fax Number
909-558-0285
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
51201 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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