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1154556132
RUDOLPH MICHAEL WAGNER
PALM HARBOR, FL
NPI
1154556132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: FL 21125)
Enumeration Date
2009-05-20
Last Update Date
2021-07-20
Business Address
Dr. RUDOLPH MICHAEL WAGNER D.M.D.
2595 TAMPA RD STE I
PALM HARBOR, FL 34684-3131
Phone number: 727-785-8847
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Mailing Address
Dr. RUDOLPH MICHAEL WAGNER D.M.D.
2595 TAMPA RD STE I
PALM HARBOR, FL 34684-3131
Phone number: 727-785-8847
Copy
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