DR. Peter Louis Wagner, D.D.S.

NPI #1548356280 in Mequon, Wisconsin

Provider Information

NPI Number
1548356280
Entity Type
Individual
Name
DR. Peter Louis Wagner, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
D.D.S.
Enumeration Date
Oct 4, 2006
Last Updated
Jul 24, 2008

Practice Location

Address
10535 N PORT WASHINGTON RD
Address 2
SUITE 102
City
Mequon
ZIP Code
53092-5583
Phone
(262) 241-0900

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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