MICHAEL A WAGNER

PAWTUCKET, RI
NPI1639114622
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy122300000X Dentist
(Licence: RI  2342)
Enumeration Date2006-06-17
Last Update Date2007-07-08
Business Address
MICHAEL A WAGNER DDS
480 BROADWAY
PAWTUCKET, RI 02860
Phone number: 401-728-6654
Mailing Address
MICHAEL A WAGNER DDS
480 BROADWAY
PAWTUCKET, RI 02860
Phone number: 401-728-6654
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