Individual
DR. DAWN MARIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, FAGD
Contact information
Practice address
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145-8716
(405) 582-6400
Mailing address
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145-8716
(405) 582-6400
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS029369L
PA
Other
Enumeration date
01/13/2006
Last updated
10/23/2019
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