Individual
DR. ADITYA WAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MPH
Contact information
Practice address
2000 RICHEY ST STE B, PASADENA, TX 77502-3332
(832) 487-0090
Mailing address
2000 RICHEY ST STE B, PASADENA, TX 77502-3332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35310
TX
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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