BRIAN M WAGNER

HUNTINGBURG, IN
NPI1790893410
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12010568A)
Enumeration Date2006-08-25
Last Update Date2008-12-02
Business Address
Dr. BRIAN M WAGNER DDS
7120 S US HIGHWAY 231
HUNTINGBURG, IN 47542-9319
Phone number: 812-683-2431
Mailing Address
Dr. BRIAN M WAGNER DDS
PO BOX 143
HUNTINGBURG, IN 47542-0143
Phone number: 812-683-2431
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