Yen Wagner Dds Llc

NPI 1316277411 - Clinic/Center - 261QD0000X

NPI Details
NPI 1316277411
Enumeration Date 01/12/2010
Last Updated 01/12/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name YEN YEN
Position OWNER
Phone (317) 925-5811
Fax
Practice Location
3965 N MERIDIAN ST APT 1C
INDIANAPOLIS IN, 46208-4035, US
Phone (317) 925-5811
Fax
Business Location
3965 N MERIDIAN ST APT 1C
INDIANAPOLIS IN, 46208-4035, US
Phone (317) 925-5811
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Indiana
License Number 12010286A
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According to our database, Yen Wagner Dds Llc NPI is 1316277411, taxonomy code is 261QD0000X and license number is 12010286A, license state is located at Indiana. Yen Wagner Dds Llc physically located at 3965 N Meridian St Apt 1c, Indianapolis IN, 46208-4035. NPI Number 1033115704 has the healthcare provider type.

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1316277411 NPI number is provided on an as is basis without warranty of any kind. 1316277411 is maintained by the National Plan & Provider Enumeration System. The contents of Yen Wagner Dds Llc are for informational purposes only.