DR. Wagner De Luca Faria, DDS is a general practice dentist in San Bernardino, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Wagner De Luca Faria, DDS NPI is 1912017302. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
143 N PLYMOUTH WAY
SAN BERNARDINO, CA
ZIP 92408-173
Phone: (909) 533-4139
The NPI 1912017302 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 8/30/2006 and was last updated on 1/20/2017.