Organization
WAGNER DENTAL
Active
Other names
Garrettsville Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN WAGNER DMD (DENTIST)
(614) 425-5821
Entity
Organization
Contact information
Practice address
10699 FREEDOM ST, GARRETTSVILLE, OH 44231-1130
(330) 527-4313
Mailing address
10699 FREEDOM ST, GARRETTSVILLE, OH 44231-1130
(330) 527-4313
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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