DR. Brian Wagoner

NPI #1831251313 in Flora, Indiana

Provider Information

NPI Number
1831251313
Entity Type
Individual
Name
DR. Brian Wagoner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 14, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
17 S DIVISION ST
City
Flora
State
Indiana
ZIP Code
46929-1335
Phone
(574) 967-4434

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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