Individual
DR. CARL J. WAGENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
315 N SAN SABA, SUITE 925, SAN ANTONIO, TX 78207-3154
(210) 227-1991
(210) 271-7646
Mailing address
315 N SAN SABA, SUITE 925, SAN ANTONIO, TX 78207-3154
(210) 227-1991
(210) 271-7646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6988
TX
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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