Individual
MARC Y. WAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3808 W RIVERSIDE DR, #204, BURBANK, CA 91505-4325
(818) 842-6162
(818) 842-2052
Mailing address
3808 W RIVERSIDE DR, #204, BURBANK, CA 91505-4325
(818) 842-6162
(818) 842-2052
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
34571
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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