Wayne K. Tanaka, DDS Valid NPI
Individual provider · Oral and Maxillofacial Surgery (Dentist) · Loma Linda, CA
- NPI
- 1922159466
- Type
- Individual (Type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223S0112X
- License number
- 51201 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-01-12
- Last updated
- 2007-07-09
Practice location
11092 University Ct Rm 3306
Loma Linda, CA 92350-0001
(909) 558-4671