Organization
WAGGONER AND ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FRANKLIN WAGGONER DDS (OWNER)
(702) 339-6729
Entity
Organization
Contact information
Practice address
2381B RENAISSANCE DR, LAS VEGAS, NV 89119-6498
(702) 786-6684
Mailing address
2381B RENAISSANCE DR, LAS VEGAS, NV 89119-6498
(702) 786-6684
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
S6-17
NV
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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