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1336131267
STEPHEN A. WAGNER
ALBUQUERQUE, NM
NPI
1336131267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: NM 1150)
Enumeration Date
2005-08-17
Last Update Date
2014-04-30
Business Address
Dr. STEPHEN A. WAGNER DDS
801 ENCINO PL NE SUITE A-3
ALBUQUERQUE, NM 87102-2612
Phone number: 505-232-3588
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Mailing Address
Dr. STEPHEN A. WAGNER DDS
801 ENCINO PL NE SUITE A-3
ALBUQUERQUE, NM 87102-2612
Phone number: 505-232-3588
Copy
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