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1164298980
OMAR RICARDO WAGNER
VISALIA, CA
NPI
1164298980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 108756)
Enumeration Date
2023-12-01
Last Update Date
2024-06-20
Business Address
Dr. OMAR RICARDO WAGNER DDS
518 N COURT ST STE C
VISALIA, CA 93291-4920
Phone number: 559-732-2394
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Mailing Address
Dr. OMAR RICARDO WAGNER DDS
518 N COURT ST STE C
VISALIA, CA 93291-4920
Phone number: 559-732-2394
Copy
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