Robert H Wagner Family Dentist S.c.

NPI #1124670898 in Green Bay, Wisconsin

Provider Information

NPI Number: 1124670898
Entity Type: Organization
Organization Name: Robert H Wagner Family Dentist S.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 12, 2019
Last Updated: Jul 12, 2019

Practice Location

Address: 2830 CURRY COURT
Address 2: SUITE 1
City: Green Bay
State: Wisconsin
ZIP Code: 54311
Phone: (920) 432-7230

Authorized Official

Name: DR. ROBERT HAROLD WAGNER, DDS
Title: DENTIST/OWNER
Phone: (920) 432-7230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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