Individual
DR. KATHRYN LEE MASSEY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2000 FIELDERS RD, JONESBORO, AR 72401-1937
(870) 972-6985
Mailing address
2000 FIELDERS RD, JONESBORO, AR 72401-1937
(870) 972-6985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3577
AR
Other
Enumeration date
10/29/2006
Last updated
01/19/2011
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