Frederick H Waggener, DDS
NPI #1225253297 in Merritt Island, Florida
Provider Information
- NPI Number
- 1225253297
- Entity Type
- Individual
- Name
- Frederick H Waggener, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 115 PARNELL ST
- City
- Merritt Island
- State
- Florida
- ZIP Code
- 32953-4715
- Phone
- (321) 452-8190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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