Stuart E Wakeman, DDS
NPI #1033255120 in Roseville, California
Provider Information
- NPI Number
- 1033255120
- Entity Type
- Individual
- Name
- Stuart E Wakeman, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1441 SECRET RAVINE PKWY
- Address 2
- #100
- City
- Roseville
- State
- California
- ZIP Code
- 95661-6044
- Phone
- (916) 782-7783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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