Wagner, Kuntz & Grabouski

NPI 1043402894 - Dentist - 1223X0400X

NPI Details
NPI 1043402894
Enumeration Date 08/15/2007
Last Updated 08/15/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD RICHARD
Position ORTHODONTIST
Phone (712) 258-0501
Fax (712) 258-1461
Practice Location
3021 HAMILTON BLVD
SIOUX CITY IA, 51104-2407, US
Phone (712) 258-0501
Fax (712) 258-1461
Business Location
3021 HAMILTON BLVD
SIOUX CITY IA, 51104-2407, US
Phone (712) 258-0501
Fax (712) 258-1461
Toxanomy
Taxonomy Code 1223X0400X
License State Iowa
License Number 6637
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According to our database, Wagner, Kuntz & Grabouski NPI is 1043402894, taxonomy code is 1223X0400X and license number is 6637, license state is located at Iowa. Wagner, Kuntz & Grabouski physically located at 3021 Hamilton Blvd, Sioux City IA, 51104-2407. NPI Number 1033115704 has the healthcare provider type.

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1043402894 NPI number is provided on an as is basis without warranty of any kind. 1043402894 is maintained by the National Plan & Provider Enumeration System. The contents of Wagner, Kuntz & Grabouski are for informational purposes only.