Individual
STEPHANIE DAWN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
539 E SPLENDOR VIEW CIR, MIDVALE, UT 84047-1329
(509) 760-9425
Mailing address
539 E SPLENDOR VIEW CIR, MIDVALE, UT 84047-1329
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
14210289-9920
UT
Other
Enumeration date
06/13/2026
Last updated
06/13/2026
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