Jamison Jenkins Wagner, DDS
NPI #1831881697 in Stansbury Park, Utah
Provider Information
- NPI Number
- 1831881697
- Entity Type
- Individual
- Name
- Jamison Jenkins Wagner, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- May 22, 2023
- Last Updated
- May 22, 2023
Practice Location
- Address
- 263 COUNTRY CLB STE 103
- City
- Stansbury Park
- State
- Utah
- ZIP Code
- 84074-9602
- Phone
- (801) 918-0960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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