CHARLES ALLEN WAGNER

MEDFORD, OR
NPI1982760153
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D7442)
Enumeration Date2006-12-29
Last Update Date2015-06-04
Business Address
-- CHARLES ALLEN WAGNER DDS
773 GOLF VIEW DR
MEDFORD, OR 97504-9643
Phone number: 541-857-2790
Mailing Address
-- CHARLES ALLEN WAGNER DDS
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 503-952-2125
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