Waggoner-Galea PC

NPI #1104055037 in N Las Vegas, Nevada

Provider Information

NPI Number
1104055037
Entity Type
Organization
Organization Name
Waggoner-Galea PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 13, 2009
Last Updated
Jul 13, 2009

Practice Location

Address
6365 SIMMONS ST
Address 2
#100
State
Nevada
ZIP Code
89031-7292
Phone
(702) 853-7322

Authorized Official

Name
DR. WILLIAM FRANKLIN WAGGONER, DDS
Title
OWNER, PRESIDENT
Phone
(702) 853-7322

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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