Individual
DR. BRYAN L WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8300 HOUGH AVE, CLEVELAND, OH 44103-4247
(216) 231-7700
(216) 231-7920
Mailing address
4800 PAYNE AVE, CLEVELAND, OH 44103-2443
(216) 231-7700
(216) 231-3828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025923
OH
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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