Organization
JOEL M. WAGONER, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL M WAGONER DDS (OWNER)
(919) 968-9697
Entity
Organization
Contact information
Practice address
77 VILCOM CENTER DR, CHAPEL HILL, NC 27514-1788
(919) 968-9697
Mailing address
77 VILCOM CENTER DR, CHAPEL HILL, NC 27514-1788
(919) 968-9697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4126
NC
1223G0001X
General Practice Dentistry
8321
NC
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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