Organization
CALIFORNIA DENTAL A WAGGONER DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WAGGONER DDS (OWNER)
(702) 339-6729
Entity
Organization
Contact information
Practice address
136 S ASPEN CT, VISALIA, CA 93291-5175
(559) 625-9300
(717) 759-4336
Mailing address
9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1216
(713) 489-2198
(713) 489-2978
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
12/29/2025
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