John Andrew Wakeman DDS

NPI 1063505832 - Dentist - 1223G0001X

NPI Details
NPI 1063505832
Gender Male
Enumeration Date 10/02/2006
Last Updated 06/30/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1090 DOLLIVER ST
PISMO BEACH CA, 93449-2508, US
Phone (805) 773-2500
Fax
Business Location
1090 DOLLIVER ST
PISMO BEACH CA, 93449-2508, US
Phone (805) 773-2500
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 54315
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According to our database, Dr. John Andrew Wakeman DDS NPI is 1063505832, taxonomy code is 1223G0001X and license number is 54315, license state is located at California. John Andrew Wakeman DDS physically located at 1090 Dolliver St, Pismo Beach CA, 93449-2508. NPI Number John Andrew Wakeman DDS has the Individual type.

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1063505832 NPI number is provided on an as is basis without warranty of any kind. 1063505832 is maintained by the National Plan & Provider Enumeration System. The contents of John Andrew Wakeman DDS are for informational purposes only.