Stephen Thomas Wagner, DDS
NPI #1003044173 in Princess Anne, Maryland
Provider Information
- NPI Number
- 1003044173
- Entity Type
- Individual
- Name
- Stephen Thomas Wagner, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 29, 2009
- Last Updated
- Jan 25, 2010
Practice Location
- Address
- 12137 ELM ST
- City
- Princess Anne
- State
- Maryland
- ZIP Code
- 21853-1358
- Phone
- (410) 651-5151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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