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
- City
- Fairfax
- State
- South Carolina
- 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 - Dental — Dental |
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