MARK WAGNER

PIKESVILLE, MD
NPI1265863112
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MD  14948)
Enumeration Date2013-12-03
Last Update Date2013-12-03
Business Address
-- MARK WAGNER
24 OLD PLANTATION WAY
PIKESVILLE, MD 21208-6375
Phone number: 410-653-6886
Mailing Address
-- MARK WAGNER
24 OLD PLANTATION WAY
PIKESVILLE, MD 21208-6375
Phone number: 410-653-6886