DR. David Edwin Wagner, DMD

NPI #1821085168 in Hazelwood, Missouri

Provider Information

NPI Number: 1821085168
Entity Type: Individual
Name: DR. David Edwin Wagner, DMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Oct 3, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 5992 HOWDERSHELL RD
Address 2: STE 206
City: Hazelwood
State: Missouri
ZIP Code: 63042-4107
Phone: (314) 731-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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