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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WADE MELVIN BANNER D.M.D., INC

Active Organization

WADE MELVIN BANNER D.M.D., INC is a Dentist organization located in GLENDORA, California. NPI 1417357518 is currently active in the NPPES registry. Verify at CMS.

Dentist · GLENDORA, CA

Registration Details

NPI Number
1417357518
Provider Type
Organization
NPI Issued
Aug 26, 2014 (11.9669933877 yrs)
Last Updated
May 28, 2024
License
63601 (CA)

Practice Information

Address
2060 E ROUTE 66 STE 105
GLENDORA, CA, 917404691
Browse CA providers · Browse ZIP 91740
Phone
6265940374
Fax
6265940813
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.