STUART E WAKEMAN

ROSEVILLE, CA
NPI1033255120
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CA  24064)
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
STUART E WAKEMAN DDS
1441 SECRET RAVINE PKWY #100
ROSEVILLE, CA 95661-6044
Phone number: 916-782-7783
Mailing Address
STUART E WAKEMAN DDS
1441 SECRET RAVINE PKWY #100
ROSEVILLE, CA 95661-6044
Phone number: 916-782-7783