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Organization
STANTON F WAGGONER DDS PC
Active
Organization
STANTON F WAGGONER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANTON F WAGGONER DDS (PRESIDENT)
(210) 490-7772
Entity
Organization
Contact information
Practice address
13499 WETMORE ROAD, SAN ANTONIO, TX 78247
(210) 490-7772
(210) 490-8927
Mailing address
13499 WETMORE ROAD, SAN ANTONIO, TX 78247
(210) 490-7772
(210) 490-8927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15377
TX
Other
Enumeration date
10/13/2006
Last updated
08/28/2013
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