SCOTT WILLIAM WAGNER

TULSA, OK
NPI1902909005
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  5335)
Enumeration Date2006-09-06
Last Update Date2014-06-05
Business Address
-- SCOTT WILLIAM WAGNER DDS
9035 EAST 62ND STREET SOUTH
TULSA, OK 74133
Phone number: 918-622-3915
Mailing Address
-- SCOTT WILLIAM WAGNER DDS
9035 E 62ND ST SO
TULSA, OK 74133
Phone number: 918-622-3915
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