Melinda Wagner DMD

NPI 1609049907 - Dentist - 1223G0001X

NPI Details
NPI 1609049907
Gender Female
Enumeration Date 04/08/2008
Last Updated 04/08/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
191 BROAD ST
RED BANK NJ, 07701-2015, US
Phone (732) 747-2022
Fax (732) 747-5524
Business Location
191 BROAD ST
RED BANK NJ, 07701-2015, US
Phone (732) 747-2022
Fax (732) 747-5524
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number 14142
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According to our database, Melinda Wagner DMD NPI is 1609049907, taxonomy code is 1223G0001X and license number is 14142, license state is located at New Jersey. Melinda Wagner DMD physically located at 191 Broad St, Red Bank NJ, 07701-2015. NPI Number Melinda Wagner DMD has the Individual type.

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1609049907 NPI number is provided on an as is basis without warranty of any kind. 1609049907 is maintained by the National Plan & Provider Enumeration System. The contents of Melinda Wagner DMD are for informational purposes only.