JOSEPH LAWRENCE WAGNER

LOUISVILLE, KY
NPI1528157401
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  6757)
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
-- JOSEPH LAWRENCE WAGNER DMD
4882 BROWNSBORO RD
LOUISVILLE, KY 40207-2342
Phone number: 502-896-4374
Mailing Address
-- JOSEPH LAWRENCE WAGNER DMD
4882 BROWNSBORO RD
LOUISVILLE, KY 40207-2342
Phone number: 502-896-4374
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