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Individual
HANNAH MICHELE WAGNER
Active
Individual
HANNAH MICHELE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045529
PA
1223P0221X
Pediatric Dentistry
DS045529
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/20/2024
Last updated
10/08/2026
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