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Wade M Banner, DMD
General Practice Dentistry in Glendora, California
NPI 1952718702

Wade M Banner is a General Practice Dentistry based in La Verne, CA and is specialized in General Practice. Wade M Banner practices in Glendora, CA and has the professional credentials of DMD. The NPI Number for Wade M Banner is 1952718702 and holds a License No. 63601 (California).

The current practice location address for Wade M Banner is 2060 E Route 66 Ste 105, Glendora, CA and can be reached out via phone at 626-594-0374 and via fax at 626-594-0813.

Location: 2060 E Route 66 Ste 105, Glendora, CA, 91750-3223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952718702
Provider Name
Wade M Banner
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2060 E Route 66 Ste 105, Glendora, CA, 91750-3223
Phone Number
626-594-0374
Fax Number
626-594-0813
Provider Enumeration Date
07/14/2014
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
2060 E Route 66 Ste 105
City
Glendora
State
California
Zip
91740-4691
Phone Number
626-594-0374
Fax Number
626-594-0813
person
Provider Business Mailing Address Details
Address
2060 E Route 66 Ste 105
City
Glendora
State
California
Zip
91740-4691
Phone Number
626-594-0374
Fax Number
626-594-0813
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
63601 (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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