Peter C Wagner Dmd Ps | |
855 Broadway Longview WA 98632 | |
(360) 425-2370 | |
Not Available |
Full Name | Peter C Wagner Dmd Ps |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 855 Broadway, Longview, Washington |
Authorized Official Name and Position | Peter Carl Wagner (PRESIDENT) |
Authorized Official Contact | 3607486636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peter C Wagner Dmd Ps 855 Broadway Longview WA 98632 Ph: (360) 425-2370 | Peter C Wagner Dmd Ps 855 Broadway Longview WA 98632 Ph: (360) 425-2370 |
NPI Number | 1831320993 |
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Provider Enumeration Date | 08/06/2009 |
Last Update Date | 08/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831320993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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