Individual
DR. ELIZABETH M WAGGENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
305 LAKE DR, SOMERVILLE, TN 38068-9718
(901) 465-2714
(901) 465-6266
Mailing address
8845 OAK HEDGE CV, CORDOVA, TN 38018-6957
(901) 758-2537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7136
TN
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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