ELAINE C. WAGNER

JACKSONVILLE, FL
NPI1366402042
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: IN  7979)
Enumeration Date2006-03-25
Last Update Date2007-07-08
Business Address
Dr. ELAINE C. WAGNER D.D.S.
J MUSTIN RD
JACKSONVILLE, FL 32212-1128
Phone number: 904-542-7312
Mailing Address
Dr. ELAINE C. WAGNER D.D.S.
J MUSTIN RD
JACKSONVILLE, FL 32212-1128
Phone number: 904-542-7312