DR. Barry David Wagenberg, DMD

NPI #1699849240 in Livingston, New Jersey

Provider Information

NPI Number: 1699849240
Entity Type: Individual
Name: DR. Barry David Wagenberg, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: DMD
Enumeration Date: Nov 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 160 S LIVINGSTON AVE
Address 2: SUITE 110-111
City: Livingston
State: New Jersey
ZIP Code: 07039-3033
Phone: (973) 994-9995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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