Wade W. Wagner, D.d.s., Chtd

NPI #1437279213 in Las Vegas, Nevada

Provider Information

NPI Number: 1437279213
Entity Type: Organization
Organization Name: Wade W. Wagner, D.d.s., Chtd
Primary Specialty: Dentist
Enumeration Date: Mar 29, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4618 MEADOWS LN
City: Las Vegas
State: Nevada
ZIP Code: 89107-2956
Phone: (702) 877-2222

Authorized Official

Name: DR. WADE W. WAGNER SR., D.D.S.
Title: OWNER
Phone: (702) 877-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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