Individual
DR. CHRISTOPHER WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 42ND AVE SW, SUITE 460, SEATTLE, WA 98116-4591
(206) 767-4851
Mailing address
4808 37TH AVE NE, SEATTLE, WA 98105-3017
(360) 624-3235
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60675722
WA
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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