Individual
MS. SAVANNAH WADDY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
520 E CARSON PLAZA CT, 101, CARSON, CA 90746-3289
(310) 323-4543
(310) 323-4548
Mailing address
520 E CARSON PLAZA CT, 101, CARSON, CA 90746-3289
(310) 323-4543
(310) 323-4548
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
D31136
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508101
—
CA
05
—
D3113601
—
CA
Enumeration date
08/25/2005
Last updated
07/08/2007
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