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1457779936
STANTON WAGGONER
SAN ANTONIO, TX
NPI
1457779936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 15377)
Enumeration Date
2014-04-02
Last Update Date
2014-04-02
Business Address
-- STANTON WAGGONER
13499 WETMORE RD
SAN ANTONIO, TX 78247-3185
Phone number: 210-490-7772
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Mailing Address
-- STANTON WAGGONER
13499 WETMORE RD
SAN ANTONIO, TX 78247-3185
Phone number: 210-490-7772
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