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1093044125
DALE EILLOTT WAGMAN
HOWELL, MI
NPI
1093044125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MI 11938)
Enumeration Date
2009-12-20
Last Update Date
2009-12-20
Business Address
Dr. DALE EILLOTT WAGMAN D.D.S.
2972 WEATHERLY RD
HOWELL, MI 48843-8880
Phone number: 517-546-6254
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Mailing Address
Dr. DALE EILLOTT WAGMAN D.D.S.
2972 WEATHERLY RD
HOWELL, MI 48843-8880
Phone number: 517-546-6254
Copy
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