Organization
WAGGONER-GALEA PC
Active
Other names
Pediatric Dental Care Associates at Aliante Parkway
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FRANKLIN WAGGONER DDS (OWNER, PRESIDENT)
(702) 853-7322
Entity
Organization
Contact information
Practice address
6365 SIMMONS ST, #100, N LAS VEGAS, NV 89031-7292
(702) 853-7322
Mailing address
6365 SIMMONS ST, #100, N LAS VEGAS, NV 89031-7292
(702) 853-7322
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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