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Organization
IRVING H. WAGMAN DDS PC
Active
Organization
IRVING H. WAGMAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DAVID WAGMAN D.D.S. (OWNER)
(703) 379-6187
Entity
Organization
Contact information
Practice address
3541 W BRADDOCK RD, SUITE 202, ALEXANDRIA, VA 22302-1915
(703) 379-6187
(703) 379-8656
Mailing address
3541 W BRADDOCK RD, SUITE 202, ALEXANDRIA, VA 22302-1915
(703) 379-6187
(703) 379-8656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008271
VA
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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