Peter C. Wagner, D.M.D.

NPI #1609992932 in Chehalis, Washington

Provider Information

NPI Number
1609992932
Entity Type
Individual
Name
Peter C. Wagner, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
D.M.D.
Enumeration Date
Mar 21, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
1292 S MARKET BLVD
ZIP Code
98532-3645
Phone
(360) 748-6636

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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Organizations

Provider Name
Wagner Orthodontics

Part of Peter L. Wagner, Dmd, Pllc

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