Eric J. Wagner, DDS

NPI #1659538593 in Hampton, Iowa

Provider Information

NPI Number: 1659538593
Entity Type: Organization
Organization Name: Eric J. Wagner, DDS
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 19, 2008
Last Updated: May 19, 2008

Practice Location

Address: 112 2ND AVE NW
City: Hampton
State: Iowa
ZIP Code: 50441-1724
Phone: (641) 456-2625

Authorized Official

Name: DR. ERIC WAGNER, DDS
Title: OWNER
Phone: (641) 456-2625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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