Individual
DR. RICHARD BRUCE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
346 DENTAL SCIENCE S, IOWA CITY, IA 52242-1001
(319) 335-9656
Mailing address
322 DENTAL SCIENCE S, IOWA CITY, IA 52242-1001
(319) 384-1139
(319) 384-1775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05978
IA
Other
Enumeration date
06/21/2006
Last updated
08/05/2013
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