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1598731408
CAROLYN BEAN WAGONER
CHARLOTTESVILLE, VA
NPI
1598731408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401008312)
Enumeration Date
2006-02-28
Last Update Date
2011-05-30
Business Address
Dr. CAROLYN BEAN WAGONER D.D.S.
259 HYDRAULIC RIDGE RD SUITE # 101
CHARLOTTESVILLE, VA 22901-8128
Phone number: 434-293-9300
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Mailing Address
Dr. CAROLYN BEAN WAGONER D.D.S.
3112 EARLYSVILLE RD
EARLYSVILLE, VA 22936-9563
Phone number: 434-963-7640
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