Individual
FRANK T. WAGGONER JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
615 GREEN ST NW, GAINESVILLE, GA 30501-3319
(770) 536-1012
(770) 535-1980
Mailing address
615 GREEN ST NW, GAINESVILLE, GA 30501-3319
(770) 536-1012
(770) 535-1980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7816
GA
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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