Wayne Louis Wagner, DDS

NPI #1063672491 in Austin, Texas

Provider Information

NPI Number
1063672491
Entity Type
Individual
Name
Wayne Louis Wagner, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 10, 2008
Last Updated
May 19, 2009

Practice Location

Address
13376 RESEARCH BLVD
Address 2
SUITE 200
City
Austin
State
Texas
ZIP Code
78750-3237
Phone
(512) 335-5566

Specialties & Taxonomy Codes

Specialty
Dentist

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