| NPI | 1003465964 |
|---|---|
| Doing Business As | WAGNER ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | KRISTIN LINK Office Manager 360-748-6636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2024-09-20 |