Individual
DR. GARRETT DACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.S.
Contact information
Practice address
613 N AZUSA AVE STE A, AZUSA, CA 91702-2968
(626) 633-0066
Mailing address
613 N AZUSA AVE STE A, AZUSA, CA 91702-2968
(626) 789-5509
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
100132
CA
Other
Enumeration date
06/07/2016
Last updated
02/04/2019
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