Individual
JOSHUA GRANT WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7456 S SIMMS ST, STE A-1, LITTLETON, CO 80127-3286
(720) 981-5868
(720) 981-5809
Mailing address
7456 S SIMMS ST, STE A-1, LITTLETON, CO 80127-3286
(720) 981-5868
(720) 981-5809
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00202788
CO
1223G0001X
General Practice Dentistry
1093
WY
Other
Enumeration date
03/16/2007
Last updated
04/11/2016
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