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1700446267
MICHAEL WAGNER
ST GEORGE, UT
NPI
1700446267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 11331177-9922)
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
Dr. MICHAEL WAGNER DMD
754 S MAIN ST STE 1
ST GEORGE, UT 84770-5510
Phone number: 435-674-9777
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Mailing Address
Dr. MICHAEL WAGNER DMD
664 SWEETSPRING DR
SANTA CLARA, UT 84765-5469
Phone number: 435-313-6221
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