Individual
DR. DALE EILLOTT WAGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2972 WEATHERLY RD, HOWELL, MI 48843-8880
(517) 546-6254
Mailing address
2972 WEATHERLY RD, HOWELL, MI 48843-8880
(517) 546-6254
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11938
MI
Other
Enumeration date
12/20/2009
Last updated
12/20/2009
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