Organization · Type 2 NPI
Dental Corporation of Wade Melvin Banner DMD Inc
Dental Clinic/Center · La Verne, CA
NPI number
1669182333
Active
Practice location
929 Foothill Blvd Ste B
La Verne, CA 91750-3223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1669182333
Dental Corporation of Wade Melvin Banner DMD Inc's National Provider Identifier is 1669182333, issued on Dec 2, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in La Verne, CA. The record was last updated on Dec 2, 2022.