CAROLYN BEAN WAGONER

CHARLOTTESVILLE, VA
NPI1598731408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401008312)
Enumeration Date2006-02-28
Last Update Date2011-05-30
Business Address
Dr. CAROLYN BEAN WAGONER D.D.S.
259 HYDRAULIC RIDGE RD SUITE # 101
CHARLOTTESVILLE, VA 22901-8128
Phone number: 434-293-9300
Mailing Address
Dr. CAROLYN BEAN WAGONER D.D.S.
3112 EARLYSVILLE RD
EARLYSVILLE, VA 22936-9563
Phone number: 434-963-7640