Rudolph M. Wagner, Dmd, Pllc | |
2595 Tampa Rd Ste I Palm Harbor FL 34684-3131 | |
(727) 785-8847 | |
Not Available |
Full Name | Rudolph M. Wagner, Dmd, Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2595 Tampa Rd Ste I, Palm Harbor, Florida |
Authorized Official Name and Position | Rudolph Wagner (ORTHODONTIST/ MANAGING MEMBER) |
Authorized Official Contact | 7277858847 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rudolph M. Wagner, Dmd, Pllc 2595 Tampa Rd Ste I Palm Harbor FL 34684-3131 Ph: (727) 785-8847 | Rudolph M. Wagner, Dmd, Pllc 2595 Tampa Rd Ste I Palm Harbor FL 34684-3131 Ph: (727) 785-8847 |
NPI Number | 1679146435 |
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Provider Enumeration Date | 07/20/2021 |
Last Update Date | 07/20/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679146435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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