institution
Yen Wagner Dds Llc
Dental Clinic/Center in Indianapolis, Indiana
NPI 1316277411

Yen Wagner Dds Llc is a Dental Clinic/Center based in Indianapolis, IN and is specialized in Dental. Yen Wagner Dds Llc practices in Indianapolis, IN. The NPI Number for Yen Wagner Dds Llc is 1316277411 and holds a License No. 12010286A (Indiana).

The current practice location address for Yen Wagner Dds Llc is 3965 N Meridian St Apt 1C, Indianapolis, IN and can be reached out via phone at 317-925-5811.

Location: 3965 N Meridian St Apt 1C, Indianapolis, IN, 46208-4035
institution
Provider Profile Details
NPI Number
1316277411
Provider Name
Yen Wagner Dds Llc
Credential
Provider Entity Type
Organization
Address
3965 N Meridian St Apt 1C, Indianapolis, IN, 46208-4035
Phone Number
317-925-5811
Fax Number
Provider Enumeration Date
01/12/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200919550 05 IN
institution
Provider Business Practice Location Address Details
Address
3965 N Meridian St Apt 1C
City
State
Zip
46208-4035
Phone Number
317-925-5811
Fax Number
person
Provider Business Mailing Address Details
Address
3965 N Meridian St Apt 1C
City
State
Zip
46208-4035
Phone Number
317-925-5811
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
12010286A (Indiana)
Definition
Definition to come...
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