Wagner Dental Llc

NPI 1003216698 - Dentist - 122300000X

NPI Details
NPI 1003216698
Enumeration Date 09/02/2014
Last Updated 09/02/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name RONALD KENT RONALD
Position MANAGER
Phone (702) 878-5599
Fax (702) 878-0173
Practice Location
2045 VILLAGE CENTER CIR
LAS VEGAS NV, 89134-6251, US
Phone (702) 878-5599
Fax (702) 878-0173
Business Location
2045 VILLAGE CENTER CIR
LAS VEGAS NV, 89134-6251, US
Phone (702) 878-5599
Fax (702) 878-0173
Toxanomy
Taxonomy Code 122300000X
License State
License Number
Remove 1003216698 NPI Number
 

According to our database, Wagner Dental Llc NPI is 1003216698, taxonomy code is 122300000X Wagner Dental Llc physically located at 2045 Village Center Cir, Las Vegas NV, 89134-6251. NPI Number 1033115704 has the healthcare provider type.

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1003216698 NPI number is provided on an as is basis without warranty of any kind. 1003216698 is maintained by the National Plan & Provider Enumeration System. The contents of Wagner Dental Llc are for informational purposes only.