RICHARD M WAGNER

RACINE, WI
NPI1770700957
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WI  3092)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
Dr. RICHARD M WAGNER DDS
1925 SOUTH GREEN BAY RD
RACINE, WI 53406-4654
Phone number: 262-634-4646
Mailing Address
Dr. RICHARD M WAGNER DDS
1925 SOUTH GREEN BAY RD
RACINE, WI 53406-4654
Phone number: 262-634-4646
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