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1609992932
PETER C. WAGNER
CHEHALIS, WA
NPI
1609992932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WA 6937)
Enumeration Date
2007-03-21
Last Update Date
2007-07-09
Business Address
-- PETER C. WAGNER D.M.D.
1292 S MARKET BLVD
CHEHALIS, WA 98532-3645
Phone number: 360-748-6636
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Mailing Address
-- PETER C. WAGNER D.M.D.
1292 S MARKET BLVD
CHEHALIS, WA 98532-3645
Phone number: 360-748-6636
Copy
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