| NPI | 1689053597 |
|---|---|
| Doing Business As | TAYLOR WAGNER FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KATY WAGNER Owner 870-972-6985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |