| David E Wagner Dmd Llc | |
|
5992 Howdershell Rd Ste 206 Hazelwood MO 63042-4107 | |
| (314) 731-2273 | |
| (314) 731-2096 |
| Full Name | David E Wagner Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 5992 Howdershell Rd, Hazelwood, Missouri |
| Authorized Official Name and Position | David E Wagner (OWNER/DENTIST) |
| Authorized Official Contact | 3147312273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David E Wagner Dmd Llc 5992 Howdershell Rd Ste 206 Hazelwood MO 63042-4107 Ph: (314) 731-2273 | David E Wagner Dmd Llc 5992 Howdershell Rd Ste 206 Hazelwood MO 63042-4107 Ph: (314) 731-2273 |
| NPI Number | 1942450937 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 09/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942450937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14071 (Missouri) | Primary |
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