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Organization

FREDERICK H. WAGGENER DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FREDERICK H WAGGENER DDS (PRESIDENT)
(321) 452-8190
Entity
Organization

Contact information

Practice address
115 PARNELL ST, MERRITT ISLAND, FL 32953-4715
(321) 452-8190
(321) 454-4822
Mailing address
115 PARNELL ST, MERRITT ISLAND, FL 32953-4715
(321) 452-8190
(321) 454-4822

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10188
FL

Other

Enumeration date
05/02/2007
Last updated
08/22/2020
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