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1639466865
DAVID J WAGNER
SANTA MONICA, CA
NPI
1639466865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CA 60468)
Enumeration Date
2011-07-08
Last Update Date
2011-07-08
Business Address
DR. DAVID J WAGNER D.D.S.
2730 WILSHIRE BLVD STE 201
SANTA MONICA, CA 90403-4744
Phone number: 310-828-1513
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Mailing Address
DR. DAVID J WAGNER D.D.S.
2730 WILSHIRE BLVD STE 201
SANTA MONICA, CA 90403-4744
Phone number: 310-828-1513
Copy
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