JIM A WAGNER

JONESBORO, AR
NPI1508013210
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: AR  2138)
Enumeration Date2008-08-25
Last Update Date2008-08-25
Business Address
Dr. JIM A WAGNER DDS, MS
2605 BROWNS LN
JONESBORO, AR 72401
Phone number: 870-972-5445
Mailing Address
Dr. JIM A WAGNER DDS, MS
2605 BROWNS LN
JONESBORO, AR 72401-7227
Phone number: 870-972-5445
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