PETER C. WAGNER

CHEHALIS, WA
NPI1609992932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WA  6937)
Enumeration Date2007-03-21
Last Update Date2007-07-09
Business Address
-- PETER C. WAGNER D.M.D.
1292 S MARKET BLVD
CHEHALIS, WA 98532-3645
Phone number: 360-748-6636
Mailing Address
-- PETER C. WAGNER D.M.D.
1292 S MARKET BLVD
CHEHALIS, WA 98532-3645
Phone number: 360-748-6636
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