JEFFREY PAUL WAGNER

ALBUQUERQUE, NM
NPI1174580120
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  1265)
Enumeration Date2006-04-26
Last Update Date2007-07-08
Business Address
Dr. JEFFREY PAUL WAGNER DDS
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-256-2778
Mailing Address
Dr. JEFFREY PAUL WAGNER DDS
7527 JACOBO DR NE
ALBUQUERQUE, NM 87109-6425
Phone number: 505-821-4415
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