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Organization
MARK V WAGNER DMD PLLC
Active
Organization
MARK V WAGNER DMD PLLC
Active
Other names
Highland Village Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK VINCENT WAGNER DMD (OWNER)
(469) 444-6500
Entity
Organization
Contact information
Practice address
2600 VILLAGE PKWY STE 120, HIGHLAND VILLAGE, TX 75077-3285
(469) 444-6500
(972) 317-0777
Mailing address
2600 VILLAGE PKWY STE 120, HIGHLAND VILLAGE, TX 75077-3285
(469) 444-6500
(972) 317-0777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
08/27/2020
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