| NPI | 1376808816 |
|---|---|
| Professional Name | ALAIN WAGNER AUGUSTE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ME 4280) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 010768) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2021-04-25 |