DR. Jim A Wagner, DDS, MS

NPI #1508013210 in Jonesboro, Arkansas

Provider Information

NPI Number
1508013210
Entity Type
Individual
Name
DR. Jim A Wagner, DDS, MS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
DDS, MS
Enumeration Date
Aug 25, 2008
Last Updated
Aug 25, 2008

Practice Location

Address
2605 BROWNS LN
ZIP Code
72401
Phone
(870) 972-5445

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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