Organization
WAGNER ORTHODONTICS
Active
Parent organization
PETER L. WAGNER, DMD, PLLC
Other names
WAGNER ORTHODONTICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PETER L. WAGNER, DMD, PLLC
Authorized official
KRISTIN LINK (OFFICE MANAGER)
(360) 748-6636
Entity
Organization
Contact information
Practice address
1327 BISHOP RD, CHEHALIS, WA 98532-9263
(360) 748-6636
(360) 748-3176
Mailing address
1327 BISHOP RD, CHEHALIS, WA 98532-9263
(360) 748-6636
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/20/2024
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