Individual
DR. WILLIAM F. WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
8981 W SAHARA AVE STE 110, LAS VEGAS, NV 89117-5894
(702) 254-4220
Mailing address
8981 W SAHARA AVE STE 110, LAS VEGAS, NV 89117-5894
(702) 254-4220
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S617
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220202310
—
NV
01
—
826768
UNITED CONCORDIA
—
Enumeration date
02/28/2006
Last updated
07/13/2009
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