Organization
DAVID E WAGNER DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E WAGNER DMD (OWNER/DENTIST)
(314) 731-2273
Entity
Organization
Contact information
Practice address
5992 HOWDERSHELL RD, STE 206, HAZELWOOD, MO 63042-4107
(314) 731-2273
(314) 731-2096
Mailing address
5992 HOWDERSHELL RD, STE 206, HAZELWOOD, MO 63042-4107
(314) 731-2273
(314) 731-2096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14071
MO
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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