Organization
WAGNER & SCHUMAN DENTAL OFFICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX WAGNER D.O. (PARTNER)
(505) 266-5881
Entity
Organization
Contact information
Practice address
201 WYOMING BLVD NE, ALBUQUERQUE, NM 87123-1029
(505) 266-5881
Mailing address
201 WYOMING BLVD NE, ALBUQUERQUE, NM 87123-1029
(505) 266-5881
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DD788
NM
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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