Individual
DR. KURT ARTHUR WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
47 E CHICAGO AVE, SUITE 344, NAPERVILLE, IL 60540-5325
(630) 778-9500
Mailing address
47 E CHICAGO AVE, SUITE 344, NAPERVILLE, IL 60540-5325
(630) 778-9500
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019021-094
IL
Other
Enumeration date
11/10/2006
Last updated
07/30/2020
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