Organization
WAGNER DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD KENT WAGNER JR. DDS (MANAGER)
(702) 878-5599
Entity
Organization
Contact information
Practice address
2045 VILLAGE CENTER CIR, LAS VEGAS, NV 89134-6251
(702) 878-5599
(702) 878-0173
Mailing address
2045 VILLAGE CENTER CIR, LAS VEGAS, NV 89134-6251
(702) 878-5599
(702) 878-0173
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NV
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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