Organization
TRUMER J WAGNER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUMER J WAGNER (PRESIDENT)
(301) 739-1017
Entity
Organization
Contact information
Practice address
322 N POTOMAC ST, HAGERSTOWN, MD 21740-3843
(301) 739-1017
Mailing address
322 NORTH POTOMAC STREET, HAGERSTOWN, MD 21740
(301) 739-1017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4231
MD
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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