Individual
MARCIA CAROL WADELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S, M.S.
Contact information
Practice address
707 PARNASSUS AVE, UCSF BOX 0762, SAN FRANCISCO, CA 94143-0762
(650) 619-0803
Mailing address
707 PARNASSUS AVE, UCSF BOX 0762, SAN FRANCISCO, CA 94143-0762
(650) 619-0803
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D22930
CA
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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