SUSAN ELAINE WAGNER

INDIANAPOLIS, IN
NPI1417087982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12008739)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
-- SUSAN ELAINE WAGNER DDS
8849 SHELBY ST A-2
INDIANAPOLIS, IN 46227-7508
Phone number: 317-881-4000
Mailing Address
-- SUSAN ELAINE WAGNER DDS
8849 SHELBY ST A-2
INDIANAPOLIS, IN 46227-7508
Phone number: 317-881-4000
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