Individual
MR. MICHAEL TODD WAGENHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4352 SYLVANIA AVE, SUITE 6, TOLEDO, OH 43623
(419) 882-8388
(419) 885-2848
Mailing address
4352 SYLVANIA AVE, SUITE G, TOLEDO, OH 43623
(419) 882-8388
(419) 885-2848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18334
OH
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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