Individual
ELKE M WAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, HUNNEWELL BUILDING 4TH FLOOR, BOSTON, MA 02115-5724
(617) 355-6571
(617) 730-0478
Mailing address
300 LONGWOOD AVE, HUNNEWELL BUILDING 4TH FLOOR, BOSTON, MA 02115-5724
(617) 355-6571
(617) 730-0478
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DL10933
MA
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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