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1750633483
ERIC JAMES WAGONER
WAKE FOREST, NC
NPI
1750633483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 9367)
Enumeration Date
2012-10-04
Last Update Date
2022-07-21
Business Address
Dr. ERIC JAMES WAGONER DDS
835 WAKE FOREST BUSINESS PARK STE E
WAKE FOREST, NC 27587-7324
Phone number: 919-570-7930
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Mailing Address
Dr. ERIC JAMES WAGONER DDS
835 WAKE FOREST BUSINESS PARK STE E
WAKE FOREST, NC 27587-7324
Phone number: 919-570-7930
Copy
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