Organization
WAFELBAKKER ANDERSON ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAS WILLEM WAFELBAKKER DMD (PRESIDENT)
(925) 935-5630
Entity
Organization
Contact information
Practice address
1855 SAN MIGUEL DR, STE 33, WALNUT CREEK, CA 94596-5279
(925) 935-5630
(925) 934-8130
Mailing address
1855 SAN MIGUEL DR, STE 33, WALNUT CREEK, CA 94596-5279
(925) 935-5630
(925) 934-8130
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
CA
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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