DAVID J WAGNER

SANTA MONICA, CA
NPI1639466865
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CA  60468)
Enumeration Date2011-07-08
Last Update Date2011-07-08
Business Address
DR. DAVID J WAGNER D.D.S.
2730 WILSHIRE BLVD STE 201
SANTA MONICA, CA 90403-4744
Phone number: 310-828-1513
Mailing Address
DR. DAVID J WAGNER D.D.S.
2730 WILSHIRE BLVD STE 201
SANTA MONICA, CA 90403-4744
Phone number: 310-828-1513