Spencer B Wagner Dmd PC

NPI #1205897378 in Fairfax, South Carolina

Provider Information

NPI Number
1205897378
Entity Type
Organization
Organization Name
Spencer B Wagner Dmd PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 29, 2006
Last Updated
Oct 7, 2008

Practice Location

Address
1987 ALLENDALE FAIRFAX HWY
ZIP Code
29827-9137
Phone
(803) 632-3301

Authorized Official

Name
SPENCER B WAGNER, DMD
Title
DENTIST
Phone
(803) 632-3301

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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