Mark Wagner

NPI #1265863112 in Pikesville, Maryland

Provider Information

NPI Number
1265863112
Entity Type
Individual
Name
Mark Wagner
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Enumeration Date
Dec 3, 2013
Last Updated
Dec 3, 2013

Practice Location

Address
24 OLD PLANTATION WAY
ZIP Code
21208-6375
Phone
(410) 653-6886

Specialties & Taxonomy Codes

Specialty
Dentist

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