Organization
KLW DENTISTRY
Active
Other names
Taylor Wagner Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATY WAGNER DDS (OWNER)
(870) 972-6985
Entity
Organization
Contact information
Practice address
2000 FIELDERS RD, JONESBORO, AR 72401-1937
(870) 972-6985
(870) 972-5536
Mailing address
2000 FIELDERS RD, JONESBORO, AR 72401-1937
(870) 972-6985
(870) 972-5536
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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