Organization
WAFELBAKKER ANDERSON ORTHODONTICS SOUTH COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAS W WAFELBAKKER DMD (PARTNER)
(408) 776-9112
Entity
Organization
Contact information
Practice address
17705 HALE AVE STE G-2, 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
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
034790
CA
Other
Enumeration date
12/21/2010
Last updated
12/30/2015
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