DR. Omar Ricardo Wagner, DDS
NPI #1164298980 in Visalia, California
Provider Information
- NPI Number
- 1164298980
- Entity Type
- Individual
- Name
- DR. Omar Ricardo Wagner, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Dec 1, 2023
- Last Updated
- Jun 20, 2024
Practice Location
- Address
- 518 N COURT ST STE C
- City
- Visalia
- State
- California
- ZIP Code
- 93291-4920
- Phone
- (559) 732-2394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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