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1063672491
WAYNE LOUIS WAGNER
AUSTIN, TX
NPI
1063672491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 19450)
Enumeration Date
2008-06-10
Last Update Date
2009-05-19
Business Address
-- WAYNE LOUIS WAGNER DDS
13376 RESEARCH BLVD SUITE 200
AUSTIN, TX 78750-3237
Phone number: 512-335-5566
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Mailing Address
-- WAYNE LOUIS WAGNER DDS
1218 SW MILITARY DR
SAN ANTONIO, TX 78221-1535
Phone number:
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