DR. Yen T Wagner, DDS
NPI #1285613000 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1285613000
- Entity Type
- Individual
- Name
- DR. Yen T Wagner, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jan 11, 2006
- Last Updated
- Jul 30, 2009
Practice Location
- Address
- 3965 N MERIDIAN ST APT 1C
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46208-4035
- Phone
- (317) 925-5811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist |
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