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
- City
- Pikesville
- State
- Maryland
- ZIP Code
- 21208-6375
- Phone
- (410) 653-6886
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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