Individual
DR. BAS W WAFELBAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17705 HALE AVE STE G2, MORGAN HILL, CA 95037-4350
(408) 776-9112
(408) 776-8141
Mailing address
17705 HALE AVE STE G2, MORGAN HILL, CA 95037-4350
(408) 776-9112
(408) 776-8141
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
034790
CA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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