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1205994878
ROBERT L WAGNER
SMITHTOWN, NY
NPI
1205994878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 0033796)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
-- ROBERT L WAGNER DMD
50 ROUTE 111 SUITE 301
SMITHTOWN, NY 11787-3700
Phone number: 631-265-2990
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Mailing Address
-- ROBERT L WAGNER DMD
50 ROUTE 111 SUITE 301
SMITHTOWN, NY 11787-3700
Phone number: 631-265-2990
Copy
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