Wagoner Family Dentistry, PC

NPI #1821276817 in Wagoner, Oklahoma

Provider Information

NPI Number: 1821276817
Entity Type: Organization
Organization Name: Wagoner Family Dentistry, PC
Primary Specialty: Dentist
Enumeration Date: Feb 1, 2008
Last Updated: Feb 1, 2008

Practice Location

Address: 900 E CHEROKEE ST
City: Wagoner
State: Oklahoma
ZIP Code: 74467-4718
Phone: (918) 485-2200

Authorized Official

Name: MICHAEL K CRAIG, D.D.S.
Title: OWNER
Phone: (918) 485-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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