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1316299076
WILL WAGNER D.M.D., LLC
TUSCALOOSA, AL
NPI
1316299076
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Entity Type
Organization
Authorized Contact
WILL WAGNER
Member
205-349-9092
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL 5177)
Enumeration Date
2012-10-04
Last Update Date
2012-10-04
Business Address
WILL WAGNER D.M.D., LLC
1663 MCFARLAND BLVD N SUITE G-5
TUSCALOOSA, AL 35406-2250
Phone number: 205-349-9092
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Mailing Address
WILL WAGNER D.M.D., LLC
620 HARTFORD DR
TUSCALOOSA, AL 35406-1799
Phone number:
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