Individual
DR. REED EUGENE VANWAGENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7055 N FRESNO ST, 202, FRESNO, CA 93720
(559) 432-4911
(559) 432-3515
Mailing address
7055 N FRESNO ST, 202, FRESNO, CA 93720
(559) 432-4911
(559) 432-3515
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
37032
CA
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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