DR. James William Formaker, D.D.S.
NPI #1538362322 in Toluca Lake, California
Provider Information
- NPI Number
- 1538362322
- Entity Type
- Individual
- Name
- DR. James William Formaker, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jun 8, 2007
- Last Updated
- Feb 16, 2008
Practice Location
- Address
- 4418 VINELAND AVE
- Address 2
- SUITE 224
- City
- Toluca Lake
- State
- California
- ZIP Code
- 91602-3457
- Phone
- (818) 508-5707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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