DR. Elyse Anne Wagner, DMD
NPI #1023509007 in Newton Centre, Massachusetts
Provider Information
- NPI Number
- 1023509007
- Entity Type
- Individual
- Name
- DR. Elyse Anne Wagner, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Prosthodontics
- Credential
- DMD
- Enumeration Date
- May 24, 2018
- Last Updated
- May 7, 2021
Practice Location
- Address
- 93 UNION ST STE 402
- City
- Newton Centre
- State
- Massachusetts
- ZIP Code
- 02459-2241
- Phone
- (179) 650-0606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - Prosthodontics — Prosthodontics |
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