# ERIC T. WAGAR DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538614680
- **Authorized official:** ERIC T WAGAR DMD (DENTIST)
- **Authorized official phone:** (425) 226-1244

## Contact information

- **Practice address:** 16653 108TH AVE SE, RENTON, WA 98055-5108
- **Practice address phone:** (425) 226-1244
- **Mailing address:** 16653 108TH AVE SE, RENTON, WA 98055-5108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60284727 | WA | Yes |

## Other

- **Enumeration date:** 08/18/2016
- **Last updated:** 08/18/2016