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Organization

JOEL M. WAGONER, DDS PA

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Organization

JOEL M. WAGONER, DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOEL M WAGONER DDS (OWNER)
(919) 968-9697
Entity
Organization

Contact information

Practice address
77 VILCOM CENTER DR, CHAPEL HILL, NC 27514-1788
(919) 968-9697
Mailing address
77 VILCOM CENTER DR, CHAPEL HILL, NC 27514-1788
(919) 968-9697

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4126
NC
1223G0001X
General Practice Dentistry
8321
NC

Other

Enumeration date
07/07/2014
Last updated
07/07/2014
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