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Individual

DR. PEYTON WOLFCALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11092 ANDERSON ST, LOMA LINDA, CA 92350-2013
(909) 558-4222
Mailing address
11092 ANDERSON ST, LOMA LINDA, CA 92350-2013

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
PENDING
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/04/2023
Last updated
07/02/2025
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