| NPI | 1750435368 |
|---|---|
| Doing Business As | CHRIS WACKER, LLCDG INC. |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER E WACKER Owner 909-796-2507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 43267) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 43508) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 36101) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-04-16 |