Individual
DR. GALEN W. WAGNILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
450 SUTTER ST, SUITE 1636, SAN FRANCISCO, CA 94108-4206
(415) 956-5162
(415) 956-0166
Mailing address
450 SUTTER ST, SUITE 1636, SAN FRANCISCO, CA 94108-4206
(415) 956-5162
(415) 956-0166
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
25461
CA
Other
Enumeration date
04/11/2012
Last updated
06/11/2021
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