| NPI | 1538789730 |
|---|---|
| Doing Business As | WAGNER FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KRAMER ALEXANDER PANDOLFO WAGNER Dentist 206-910-8653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |