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1427147792
DENNIS S WAGNER
TILLAMOOK, OR
NPI
1427147792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR 4590)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Dr. DENNIS S WAGNER DMD
2103 10TH ST
TILLAMOOK, OR 97141-3912
Phone number: 503-842-5320
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Mailing Address
Dr. DENNIS S WAGNER DMD
2103 10TH ST
TILLAMOOK, OR 97141-3912
Phone number: 503-842-5320
Copy
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