ROBERT KEMP VAN WAGENEN

FORT DRUM, NY
NPI1942752837
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CO  DEN.00202992)
Enumeration Date2016-10-26
Last Update Date2023-12-11
Business Address
ROBERT KEMP VAN WAGENEN DDS
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602-5503
Phone number: 719-666-1879
Mailing Address
ROBERT KEMP VAN WAGENEN DDS
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602-5503
Phone number:
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