Individual
PREM KUMAR WAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 READEY ST, MANCHESTER, NH 03104-2227
(603) 785-6701
Mailing address
54 READEY ST, MANCHESTER, NH 03104-2227
(603) 785-6701
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
03696
NH
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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