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Organization
ERIC T. WAGAR DMD, PLLC
Active
Organization
ERIC T. WAGAR DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC T WAGAR DMD (DENTIST)
(425) 226-1244
Entity
Organization
Contact information
Practice address
16653 108TH AVE SE, RENTON, WA 98055-5108
(425) 226-1244
Mailing address
16653 108TH AVE SE, RENTON, WA 98055-5108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60284727
WA
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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