Drs. Wagoner & Wagoner, PC

NPI #1932318995 in Flora, Indiana

Provider Information

NPI Number
1932318995
Entity Type
Organization
Organization Name
Drs. Wagoner & Wagoner, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 22, 2007
Last Updated
Aug 22, 2020

Practice Location

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

Authorized Official

Name
DR. GORDON D. WAGONER, DDS, MAGD
Title
PRESIDENT
Phone
(574) 967-4434

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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