Individual
DR. WAGNER RODRIGUES DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1600 SW ARCHER RD, ROOM D10-6, GAINESVILLE, FL 32610-0434
(352) 273-8360
Mailing address
1600 SW ARCHER RD, ROOM D10-6 PO BOX 100434, UNIVERSITY OF FLORIDA, DEPARTMENT OF PERIODONTOLOGY, GAINESVILLE, FL 32610-0434
(352) 273-8360
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
638
FL
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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