Individual
DR. JOHN WAYLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 MERCED DR, SAN BRUNO, CA 94066-2520
(415) 297-9046
(650) 588-2331
Mailing address
150 MERCED DR, SAN BRUNO, CA 94066-2520
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30300
CA
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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