Individual
DR. ALAIN WAGNER AUGUSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
728 STILLWATER AVE, BANGOR, ME 04401-3615
(203) 252-4916
Mailing address
728 STILLWATER AVE, BANGOR, ME 04401-3615
(203) 252-4916
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4280
ME
1223G0001X
General Practice Dentistry
010768
CT
Other
Enumeration date
07/11/2012
Last updated
04/25/2021
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