JONATHON WAGNER

SANTA CRUZ, CA
NPI1063505477
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  50395)
Enumeration Date2006-09-30
Last Update Date2007-07-08
Business Address
Dr. JONATHON WAGNER DDS
1017 MISSION STREET
SANTA CRUZ, CA 95060
Phone number: 831-426-3535
Mailing Address
Dr. JONATHON WAGNER DDS
1017 MISSION STREET
SANTA CRUZ, CA 95060
Phone number: 831-426-3535