Individual
DR. JAMES M WAGNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2620 REGATTA DR, 110, LAS VEGAS, NV 89128-6891
(702) 648-1200
Mailing address
2620 REGATTA DR, 110, LAS VEGAS, NV 89128-6891
(702) 648-1200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3067
NV
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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