DENTAL CORPORATION OF WADE MELVIN BANNER DMD INC

LA VERNE, CA
NPI1669182333
Entity TypeOrganization
Authorized ContactWADE BANNER
Owner
909-973-0099
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2022-12-02
Last Update Date2022-12-02
Business Address
DENTAL CORPORATION OF WADE MELVIN BANNER DMD INC
929 FOOTHILL BLVD STE B
LA VERNE, CA 91750-3223
Phone number: 909-973-0099
Mailing Address
DENTAL CORPORATION OF WADE MELVIN BANNER DMD INC
929 FOOTHILL BLVD STE B
LA VERNE, CA 91750-3223
Phone number:
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