Individual
DR. ROBERT SCOTT WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
254 CAFFERTY RD, PIPERSVILLE, PA 18947-9337
(610) 294-7994
(610) 294-7995
Mailing address
2723 S WALTER REED DR, UNIT A, ARLINGTON, VA 22206-1266
(703) 298-3020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
051232
NY
122300000X
Dentist
Primary
6248
VA
Other
Enumeration date
10/12/2006
Last updated
10/02/2007
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