DR. William Claude Wagner, DDS
NPI #1477603702 in Bloomington, Illinois
Provider Information
- NPI Number
- 1477603702
- Entity Type
- Individual
- Name
- DR. William Claude Wagner, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 11, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 211 N PRAIRIE ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701
- Phone
- (309) 829-6112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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