Wade M Banner, D.M.D.
NPI #1952718702 in Glendora, California
Provider Information
- NPI Number
- 1952718702
- Entity Type
- Individual
- Name
- Wade M Banner, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Jul 14, 2014
- Last Updated
- May 28, 2024
Practice Location
- Address
- 2060 E ROUTE 66 STE 105
- City
- Glendora
- State
- California
- ZIP Code
- 91740-4691
- Phone
- (626) 594-0374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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