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1225253297
FREDERICK H WAGGENER
MERRITT ISLAND, FL
NPI
1225253297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: FL 10188)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
FREDERICK H WAGGENER DDS
115 PARNELL ST
MERRITT ISLAND, FL 32953-4715
Phone number: 321-452-8190
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Mailing Address
FREDERICK H WAGGENER DDS
115 PARNELL ST
MERRITT ISLAND, FL 32953-4715
Phone number: 321-452-8190
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