DR. Dale Eillott Wagman, D.D.S.

NPI #1093044125 in Howell, Michigan

Provider Information

NPI Number: 1093044125
Entity Type: Individual
Name: DR. Dale Eillott Wagman, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Dec 20, 2009
Last Updated: Dec 20, 2009

Practice Location

Address: 2972 WEATHERLY RD
City: Howell
State: Michigan
ZIP Code: 48843-8880
Phone: (517) 546-6254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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