Lisa Ann Wagner, DMD

NPI #1982776712 in Alpharetta, Georgia

Provider Information

NPI Number: 1982776712
Entity Type: Individual
Name: Lisa Ann Wagner, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 15, 2006
Last Updated: Sep 20, 2016

Practice Location

Address: 1130 SANCTUARY PKWY
City: Alpharetta
State: Georgia
ZIP Code: 30009-4839
Phone: (770) 641-5168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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