DANIEL JAY WAGNER

MOBILE, AL
NPI1528096492
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AL  LNO3646)
Enumeration Date2006-06-29
Last Update Date2007-07-08
Business Address
Mr. DANIEL JAY WAGNER MD
1303 DR MARTIN L KING JR AVE
MOBILE, AL 36603-5341
Phone number: 251-432-4112
Mailing Address
Mr. DANIEL JAY WAGNER MD
PO BOX 2048
MOBILE, AL 36652-2048
Phone number: 251-432-4117
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