WADE M BANNER

GLENDORA, CA
NPI1952718702
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  63601)
Enumeration Date2014-07-14
Last Update Date2024-05-28
Business Address
WADE M BANNER D.M.D.
2060 E ROUTE 66 STE 105
GLENDORA, CA 91740-4691
Phone number: 626-594-0374
Mailing Address
WADE M BANNER D.M.D.
929 W. FOOTHILL BLVD. SUITE A
LA VERNE, CA 91750-3223
Phone number: 626-594-0374
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