ROBERT L WAGNER

SMITHTOWN, NY
NPI1205994878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NY  0033796)
Enumeration Date2006-12-05
Last Update Date2007-07-08
Business Address
-- ROBERT L WAGNER DMD
50 ROUTE 111 SUITE 301
SMITHTOWN, NY 11787-3700
Phone number: 631-265-2990
Mailing Address
-- ROBERT L WAGNER DMD
50 ROUTE 111 SUITE 301
SMITHTOWN, NY 11787-3700
Phone number: 631-265-2990