person
Dr. Kelly Johanna Waggener, DMD
General Practice Dentistry in Santa Rosa, California
NPI 1629111604

Kelly Johanna Waggener is a General Practice Dentistry based in Santa Rosa, CA and is specialized in General Practice. Kelly Johanna Waggener practices in Santa Rosa, CA and has the professional credentials of DMD. The NPI Number for Kelly Johanna Waggener is 1629111604 and holds a License No. 48404 (California).

The current practice location address for Kelly Johanna Waggener is 80 Doctors Park Dr, Santa Rosa, CA and can be reached out via phone at 707-544-1836 and via fax at 707-542-0617. You can also correspond with Kelly Johanna Waggener through the mailing address at 80 DOCTORS PARK DR, SANTA ROSA, CA - 95405-6615 (mailing address contact number: 707-544-1836).

Location: 80 Doctors Park Dr, Santa Rosa, CA, 95405-6615
person
Provider Profile Details
NPI Number
1629111604
Provider Name
Kelly Johanna Waggener
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
80 Doctors Park Dr, Santa Rosa, CA, 95405-6615
Phone Number
707-544-1836
Fax Number
707-542-0617
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
80 Doctors Park Dr
City
State
Zip
95405-6615
Phone Number
707-544-1836
Fax Number
707-542-0617
person
Provider Business Mailing Address Details
Address
80 Doctors Park Dr
City
State
Zip
95405-6615
Phone Number
707-544-1836
Fax Number
707-542-0617
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
48404 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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