Individual
KARL WAGENKNECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1380 VILLARD ST, EUGENE, OR 97403-1955
(541) 342-5578
(541) 302-6399
Mailing address
1380 VILLARD ST, EUGENE, OR 97403-1955
(541) 342-5578
(541) 302-6399
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5229
OR
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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