Individual
DR. ERIC THOMAS WAGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
19723 HIGHWAY 99 STE A, LYNNWOOD, WA 98036-6079
(425) 775-3456
Mailing address
1917 NE 113TH ST, SEATTLE, WA 98125-6555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60284727
WA
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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