STEPHEN THOMAS WAGNER

PRINCESS ANNE, MD
NPI1003044173
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MD  14543)
Enumeration Date2009-06-29
Last Update Date2010-01-25
Business Address
-- STEPHEN THOMAS WAGNER DDS
12137 ELM ST
PRINCESS ANNE, MD 21853-1358
Phone number: 410-651-5151
Mailing Address
-- STEPHEN THOMAS WAGNER DDS
PO BOX 1978
SALISBURY, MD 21802-1978
Phone number: 410-749-1015
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