WAGNER FAMILY DENTAL

JASPER, IN
NPI1104209790
Entity TypeOrganization
Authorized ContactBRIAN M. WAGNER
Owner
812-482-4347
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12010568A)
Enumeration Date2015-07-01
Last Update Date2015-07-01
Business Address
WAGNER FAMILY DENTAL
4115 MANNHEIM RD
JASPER, IN 47546-2964
Phone number: 812-482-4347
Mailing Address
WAGNER FAMILY DENTAL
PO BOX 712
JASPER, IN 47547-0712
Phone number: 812-482-4347
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