| Irving H. Wagman Dds Pc | |
|
3541 W Braddock Rd Suite 202 Alexandria VA 22302-1915 | |
| (703) 379-6187 | |
| (703) 379-8656 |
| Full Name | Irving H. Wagman Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3541 W Braddock Rd, Alexandria, Virginia |
| Authorized Official Name and Position | Jeffrey David Wagman (OWNER) |
| Authorized Official Contact | 7033796187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irving H. Wagman Dds Pc 3541 W Braddock Rd Suite 202 Alexandria VA 22302-1915 Ph: (703) 379-6187 | Irving H. Wagman Dds Pc 3541 W Braddock Rd Suite 202 Alexandria VA 22302-1915 Ph: (703) 379-6187 |
| NPI Number | 1972717569 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972717569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401008271 (Virginia) | Primary |
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