EDWARD C WAGNER

BOISE, ID
NPI1740393917
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  3528)
Enumeration Date2006-08-15
Last Update Date2007-07-08
Business Address
-- EDWARD C WAGNER DMD
2031 E HOSPITALTIY LN STE 100
BOISE, ID 83716
Phone number: 208-333-9999
Mailing Address
-- EDWARD C WAGNER DMD
2031 E HOSPITALTIY LN STE 100
BOISE, ID 83716
Phone number: 208-333-9999
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