Individual
CRAIG S WADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6000 FAIRWAY DR, SUITE 9, ROCKLIN, CA 95677-4244
(916) 630-9048
(916) 630-9008
Mailing address
6000 FAIRWAY DR, SUITE 9, ROCKLIN, CA 95677-4244
(916) 630-9048
(916) 630-9008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36712
CA
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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