DR. Robert Frederick Wagner, D.M.D.

NPI #1164599700 in Portland, Oregon

Provider Information

NPI Number
1164599700
Entity Type
Individual
Name
DR. Robert Frederick Wagner, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Nov 29, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2803 NE EVERETT ST
State
Oregon
ZIP Code
97232-3246
Phone
(503) 239-5115

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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