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1205917523
DAVID WAGNER
TACOMA, WA
NPI
1205917523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 6755)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Dr. DAVID WAGNER D.D.S.
1919 N PEARL ST STE A3
TACOMA, WA 98406-2456
Phone number: 253-761-5299
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Mailing Address
Dr. DAVID WAGNER D.D.S.
1919 N PEARL ST STE A3
TACOMA, WA 98406-2456
Phone number: 253-761-5299
Copy
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