MARK VINCENT WAGNER

HIGHLAND VILLAGE, TX
NPI1528419074
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  34961)
Additional Taxonomies122300000X Dentist
(Licence: NM  DD4556)
Enumeration Date2016-06-27
Last Update Date2020-08-18
Business Address
Dr. MARK VINCENT WAGNER DMD
2600 VILLAGE PKWY STE 120
HIGHLAND VILLAGE, TX 75077-3285
Phone number: 469-444-6500
Mailing Address
Dr. MARK VINCENT WAGNER DMD
2600 VILLAGE PKWY STE 120
HIGHLAND VILLAGE, TX 75077-3285
Phone number: 469-444-6500