Individual
DR. CELINA MARIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9072 LORRAINE RD, GULFPORT, MS 39503-6101
(228) 896-1840
Mailing address
6236 EMERALD LAKE DR, BILOXI, MS 39532-4537
(248) 210-8661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106667
CA
122300000X
Dentist
111700
MS
Other
Enumeration date
07/21/2021
Last updated
11/19/2025
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