Wade Melvin Banner D.m.d., INC

NPI #1417357518 in Glendora, California

Provider Information

NPI Number
1417357518
Entity Type
Organization
Organization Name
Wade Melvin Banner D.m.d., INC
Primary Specialty
Dentist
Enumeration Date
Aug 26, 2014
Last Updated
May 28, 2024

Practice Location

Address
2060 E ROUTE 66 STE 105
ZIP Code
91740-4691
Phone
(626) 594-0374

Authorized Official

Name
DR. WADE MELVIN BANNER, D.M.D.
Title
OWNER
Phone
(626) 594-0374

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental
Dentist

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