Pocomoke Dental
NPI #1215232715 in Pocomoke City, Maryland
Provider Information
- NPI Number
- 1215232715
- Entity Type
- Organization
- Organization Name
- Pocomoke Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 14, 2011
- Last Updated
- Sep 27, 2011
Practice Location
- Address
- 102 8TH ST
- City
- Pocomoke City
- State
- Maryland
- ZIP Code
- 21851-1129
- Phone
- (410) 957-0788
Authorized Official
- Name
- DR. STEPHEN T WAGNER, DDS
- Title
- PRESIDENT
- Phone
- (410) 957-0788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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