| Garrett Dacker Dds Inc | |
|
613 N Azusa Ave Ste A Azusa CA 91702-2968 | |
| (626) 633-0066 | |
| Not Available |
| Full Name | Garrett Dacker Dds Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 613 N Azusa Ave Ste A, Azusa, California |
| Authorized Official Name and Position | Garrett Dacker (PRESIDENT) |
| Authorized Official Contact | 6264840075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garrett Dacker Dds Inc 1365 Pebble Springs Ln Glendora CA 91741-2353 Ph: () - | Garrett Dacker Dds Inc 613 N Azusa Ave Ste A Azusa CA 91702-2968 Ph: (626) 633-0066 |
| NPI Number | 1649738980 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 03/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649738980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
James D. Ahn, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E Gladstone St, Azusa, CA 91702 Phone: 626-969-6728 | |
Vigliarolo Chen Canlas Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 N Citrus Ave Ste A, Azusa, CA 91702 Phone: 626-804-7715 Fax: 626-507-6315 | |