Richard W Wagner JR., DDS MS
NPI #1710050893 in Sioux City, Iowa
Provider Information
- NPI Number
- 1710050893
- Entity Type
- Individual
- Name
- Richard W Wagner JR., DDS MS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DDS MS
- Enumeration Date
- Nov 16, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3012 HAMILTON BLVD
- City
- Sioux City
- State
- Iowa
- ZIP Code
- 51104
- Phone
- (712) 258-0501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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