Wade Melvin Banner
ActiveCalifornia license 63601
License
- Licensed by
- Dental Board of California
- License number
- 63601
- Status
- Active (Current)
- First issued
- July 10, 2014
- Expires
- January 31, 2028
- License holder
- Wade Melvin Banner
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
929 W. Foothill Blvd. Suite A
La Verne, CA 91750
La Verne, CA 91750
Los Angeles County