Individual
ROBERT LINTON WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1402 ARGILLITE ROAD, FLATWOODS, KY 41139
(606) 836-1646
(606) 836-0030
Mailing address
PO BOX 825, 1402 ARGILLITE ROAD, FLATWOODS, KY 41139
(606) 836-1646
(606) 836-0030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
KY4649
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60046497
—
KY
Enumeration date
02/27/2007
Last updated
07/08/2007
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