Jon Dagley Wagner, MD DDS
NPI #1154338101 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1154338101
- Entity Type
- Individual
- Name
- Jon Dagley Wagner, MD DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- MD DDS
- Enumeration Date
- Aug 2, 2006
- Last Updated
- Apr 4, 2013
Practice Location
- Address
- 10000 COORS BYP NW
- Address 2
- SUITE G-218
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87114-4040
- Phone
- (505) 242-4867
Specialties & Taxonomy Codes
| Specialty |
|---|
| Plastic Surgery |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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