Individual
SCOTT ALLAN WAGNILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1108 WESTERN AVE, FERGUS FALLS, MN 56537-4808
(218) 736-4000
(218) 736-0766
Mailing address
1108 WESTERN AVE, FERGUS FALLS, MN 56537-4808
(218) 736-4000
(218) 736-0766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10677
MN
Other
Enumeration date
03/28/2007
Last updated
12/02/2020
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