Individual
DR. JASON E WAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2981 N WEBB RD., WICHITA, KS 67226
(316) 685-2731
(316) 685-6946
Mailing address
2981 N WEBB RD., WICHITA, KS 67226
(316) 685-2731
(316) 685-6946
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7152
KS
Other
Enumeration date
10/24/2006
Last updated
11/14/2018
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