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1659545184
ELIZABETH ANN WAGNER
PHILADELPHIA, PA
NPI
1659545184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: PA ds036569)
Enumeration Date
2008-04-16
Last Update Date
2008-04-16
Business Address
Dr. ELIZABETH ANN WAGNER DMD
100 E LEHIGH AVE
PHILADELPHIA, PA 19125-1012
Phone number: 215-707-3613
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Mailing Address
Dr. ELIZABETH ANN WAGNER DMD
1003 HANCOCK CT
DEPTFORD, NJ 08096-5122
Phone number: 215-837-3658
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