Mark V Wagner Dmd Pllc
NPI #1396353025 in Highland Village, Texas
Provider Information
- NPI Number
- 1396353025
- Entity Type
- Organization
- Organization Name
- Mark V Wagner Dmd Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 20, 2020
- Last Updated
- Aug 27, 2020
Practice Location
- Address
- 2600 VILLAGE PKWY STE 120
- City
- Highland Village
- State
- Texas
- ZIP Code
- 75077-3285
- Phone
- (469) 444-6500
Authorized Official
- Name
- DR. MARK VINCENT WAGNER, DMD
- Title
- OWNER
- Phone
- (469) 444-6500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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