Organization
WAGNER AUGUSTE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAIN AUGUSTE (OWNER)
(207) 669-4826
Entity
Organization
Contact information
Practice address
206 HIGH ST STE D, ELLSWORTH, ME 04605-1741
(207) 669-4826
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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