Organization
GARRETT DACKER DDS INC
Active
Other names
SoCal Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRETT DACKER DDS, MDS (PRESIDENT)
(626) 484-0075
Entity
Organization
Contact information
Practice address
613 N AZUSA AVE STE A, AZUSA, CA 91702-2968
(626) 633-0066
Mailing address
1365 PEBBLE SPRINGS LN, GLENDORA, CA 91741-2353
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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