Individual
DR. PAUL M WAGENAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7400 E ARAPAHOE RD STE 203, CENTENNIAL, CO 80112-1281
(303) 770-5040
(303) 770-3724
Mailing address
7400 E ARAPAHOE RD STE 203, CENTENNIAL, CO 80112-1281
(303) 770-5040
(303) 770-3724
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105993
CO
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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