| Chris Wacker, Llcdg Inc. | |
|
25455 Barton Rd Suite 205b Loma Linda CA 92354-3128 | |
| (909) 796-2507 | |
| (909) 796-3247 |
| Full Name | Chris Wacker, Llcdg Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 25455 Barton Rd, Loma Linda, California |
| Authorized Official Name and Position | Christopher E Wacker (OWNER) |
| Authorized Official Contact | 9097962507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris Wacker, Llcdg Inc. 25455 Barton Rd Suite 205b Loma Linda CA 92354-3128 Ph: (909) 796-2507 | Chris Wacker, Llcdg Inc. 25455 Barton Rd Suite 205b Loma Linda CA 92354-3128 Ph: (909) 796-2507 |
| NPI Number | 1750435368 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 04/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750435368 | NPI | - | NPPES |
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