Provider Demographics
NPI:1528069135
Name:CLARO, WANDA IRENE (DDS, MS, INC)
Entity type:Individual
Prefix:DR
First Name:WANDA
Middle Name:IRENE
Last Name:CLARO
Suffix:
Gender:F
Credentials:DDS, MS, INC
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Mailing Address - Street 1:2 OSBORN ST
Mailing Address - Street 2:SUITE 180
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4690
Mailing Address - Country:US
Mailing Address - Phone:949-786-7800
Mailing Address - Fax:949-786-3881
Practice Address - Street 1:2 OSBORN ST
Practice Address - Street 2:SUITE 180
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4690
Practice Address - Country:US
Practice Address - Phone:949-786-7800
Practice Address - Fax:949-786-3881
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-04
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA267461223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics