Individual
DR. BARRY DAVID WAGENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
160 S LIVINGSTON AVE, SUITE 110-111, LIVINGSTON, NJ 07039-3033
(973) 994-9995
(973) 994-1991
Mailing address
160 S LIVINGSTON AVE, SUITE 110-111, LIVINGSTON, NJ 07039-3033
(973) 994-9995
(973) 994-1991
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DI10755
NJ
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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