Lehman Waggener Professional Dental Corporation
NPI #1174664460 in Santa Rosa, California
Provider Information
- NPI Number
- 1174664460
- Entity Type
- Organization
- Organization Name
- Lehman Waggener Professional Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 9, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 80 DOCTORS PARK DRIVE
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95405
- Phone
- (707) 544-1836
Authorized Official
- Name
- DR. KELLY JOHANNA WAGGENER, DMD
- Title
- PRESIDENT
- Phone
- (707) 538-3325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
| Dentist - Periodontics — Periodontics |
| Dentist - General Practice — General Practice |
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