ERIC J. WAGNER, DDS

HAMPTON, IA
NPI1659538593
Entity TypeOrganization
Authorized ContactERIC WAGNER
Owner
641-456-2625
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: IA  6932)
Enumeration Date2008-05-19
Last Update Date2008-05-19
Business Address
ERIC J. WAGNER, DDS
112 2ND AVE NW
HAMPTON, IA 50441-1724
Phone number: 641-456-2625
Mailing Address
ERIC J. WAGNER, DDS
112 2ND AVE NW
HAMPTON, IA 50441-1724
Phone number: 641-456-2625
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