LOMA LINDA CHILDREN'S DENTAL GROUP NPI 1750435368

NPI Information

LOMA LINDA CHILDREN'S DENTAL GROUP is a pediatric dentistry dentist in Loma Linda, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. LOMA LINDA CHILDREN'S DENTAL GROUP NPI is 1750435368. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Chris Wacker, Llcdg Inc..

The provider's business location address is:

25455 BARTON RD
SUITE 205B
LOMA LINDA, CA
ZIP 92354-128
Phone: (909) 796-2507
Fax: (909) 796-3247

The provider's authorized official is Christopher E Wacker .
The authorized official title is Owner and has the following contact phone number (909) 796-2507.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 4/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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