WILLIAM CLAUDE WAGNER

BLOOMINGTON, IL
NPI1477603702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-020545)
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
Dr. WILLIAM CLAUDE WAGNER DDS
211 N PRAIRIE ST
BLOOMINGTON, IL 61701
Phone number: 309-829-6112
Mailing Address
Dr. WILLIAM CLAUDE WAGNER DDS
211 N PRAIRIE ST
BLOOMINGTON, IL 61701
Phone number: 309-829-6112
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