CHAD LOWELL WAGNER

TRAVIS AFB, CA
NPI1790381622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MN  D14489)
Enumeration Date2020-12-07
Last Update Date2020-12-07
Business Address
DR. CHAD LOWELL WAGNER DDS
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-7008
Mailing Address
DR. CHAD LOWELL WAGNER DDS
450 BUCK AVE
VACAVILLE, CA 95688-6804
Phone number: 651-600-7104