DR. Douglas Neil Wade, DDS
NPI #1649214248 in Fort Irwin, California
Provider Information
- NPI Number
- 1649214248
- Entity Type
- Individual
- Name
- DR. Douglas Neil Wade, DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4TH & INNER LOOP ROAD
- Address 2
- BLDG. 171,
- City
- Fort Irwin
- State
- California
- ZIP Code
- 92310-5076
- Phone
- (760) 380-5733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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