WAGONER FAMILY DENTAL, PLLC

WAGONER, OK
NPI1669245577
Entity TypeOrganization
Authorized ContactLILY DAVIS
Credentialing Manager
918-998-0996
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2023-11-02
Last Update Date2023-11-02
Business Address
WAGONER FAMILY DENTAL, PLLC
302 S HAYES AVE
WAGONER, OK 74467-5551
Phone number: 918-485-3371
Mailing Address
WAGONER FAMILY DENTAL, PLLC
400 RIVERWALK TER STE 250
JENKS, OK 74037-5619
Phone number: 918-998-0996
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