Organization
ROBERT J WAGNER DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JACOB WAGNER III DDS (PRESIDENT)
(909) 799-9988
Entity
Organization
Contact information
Practice address
328 COMMERCIAL RD STE 104, SAN BERNARDINO, CA 92408-3766
(909) 799-9988
Mailing address
328 COMMERCIAL RD STE 104, SAN BERNARDINO, CA 92408-3766
(909) 799-9988
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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