| Wagner Dental Llc | |
|
2045 Village Center Cir Las Vegas NV 89134-6251 | |
| (702) 878-5599 | |
| (702) 878-0173 |
| Full Name | Wagner Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 2045 Village Center Cir, Las Vegas, Nevada |
| Authorized Official Name and Position | Ronald Kent Wagner (MANAGER) |
| Authorized Official Contact | 7028785599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wagner Dental Llc 2045 Village Center Cir Las Vegas NV 89134-6251 Ph: (702) 878-5599 | Wagner Dental Llc 2045 Village Center Cir Las Vegas NV 89134-6251 Ph: (702) 878-5599 |
| NPI Number | 1003216698 |
|---|---|
| Provider Enumeration Date | 09/02/2014 |
| Last Update Date | 09/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003216698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Nevada) | Primary |
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