| NPI | 1679911473 |
|---|---|
| Doing Business As | WACKFORD DENTAL |
| Entity Type | Organization |
| Authorized Contact | VERONICA CORTES Office Manager 916-683-3841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50364) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 47882) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |