ROBERT FREDERICK WAGNER

PORTLAND, OR
NPI1164599700
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D7549)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
Dr. ROBERT FREDERICK WAGNER D.M.D.
2803 NE EVERETT ST
PORTLAND, OR 97232-3246
Phone number: 503-239-5115
Mailing Address
Dr. ROBERT FREDERICK WAGNER D.M.D.
2803 NE EVERETT ST
PORTLAND, OR 97232-3246
Phone number: 503-239-5115
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