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1215141890
JEFFREY DAVID WAGMAN
ALEXANDRIA, VA
NPI
1215141890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401008271)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY DAVID WAGMAN D.D.S.
3541 W BRADDOCK RD SUITE 202
ALEXANDRIA, VA 22302-1915
Phone number: 703-379-6187
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Mailing Address
Dr. JEFFREY DAVID WAGMAN D.D.S.
3541 W BRADDOCK RD SUITE 202
ALEXANDRIA, VA 22302-1915
Phone number: 703-379-6187
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