DR. Jeffrey Paul Wagner, DDS
NPI #1174580120 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1174580120
- Entity Type
- Individual
- Name
- DR. Jeffrey Paul Wagner, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Apr 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1501 SAN PEDRO DR SE
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87108-5153
- Phone
- (505) 256-2778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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