TRAVIS RAY WAGNER

APO, AE
NPI1932635653
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: VA  0401415734)
Enumeration Date2017-05-02
Last Update Date2026-08-21
Business Address
Dr. TRAVIS RAY WAGNER MAJ
48TH MDG RAF LAKENHEATH
APO, AE
Phone number: 440-163-8528
Mailing Address
Dr. TRAVIS RAY WAGNER MAJ
48TH MDG/RAF LAKENHEATH, APO, AE 09461 RAF LAKENHEATH
APO, AE
Phone number: 440-163-8528
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