| Ronald Yukio Wake, Dds, Inc. | |
|
895 Moraga Rd Ste 2 Lafayette CA 94549-5046 | |
| (925) 283-0280 | |
| (925) 283-0299 |
| Full Name | Ronald Yukio Wake, Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 895 Moraga Rd Ste 2, Lafayette, California |
| Authorized Official Name and Position | Ronald Yukio Wake (PRESIDENT) |
| Authorized Official Contact | 9252830280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Yukio Wake, Dds, Inc. 895 Moraga Rd Ste 2 Lafayette CA 94549-5046 Ph: (925) 283-0280 | Ronald Yukio Wake, Dds, Inc. 895 Moraga Rd Ste 2 Lafayette CA 94549-5046 Ph: (925) 283-0280 |
| NPI Number | 1003264938 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 06/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003264938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22931 (California) | Primary |
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