Peter C Wagner Dmd Ps
NPI #1831320993 in Longview, Washington
Provider Information
- NPI Number
- 1831320993
- Entity Type
- Organization
- Organization Name
- Peter C Wagner Dmd Ps
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Aug 6, 2009
- Last Updated
- Aug 6, 2009
Practice Location
- Address
- 855 BROADWAY
- City
- Longview
- State
- Washington
- ZIP Code
- 98632
- Phone
- (360) 425-2370
Authorized Official
- Name
- DR. PETER CARL WAGNER, DMD
- Title
- PRESIDENT
- Phone
- (360) 748-6636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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