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Elke M Wagle
Pediatric Dentist in Boston, Massachusetts
NPI 1720385461

Elke M Wagle is a Pediatric Dentist based in Boston, MA and is specialized in Pediatric Dentistry. Elke M Wagle practices in Boston, MA. The NPI Number for Elke M Wagle is 1720385461 and holds a License No. DL10933 (Massachusetts).

The current practice location address for Elke M Wagle is 300 Longwood Ave, Boston, MA and can be reached out via phone at 617-355-6571 and via fax at 617-730-0478.

Location: 300 Longwood Ave, Boston, MA, 02115-5724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720385461
Provider Name
Elke M Wagle
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 Longwood Ave, Boston, MA, 02115-5724
Phone Number
617-355-6571
Fax Number
617-730-0478
Provider Enumeration Date
02/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Longwood Ave
City
Boston
State
Massachusetts
Zip
02115-5724
Phone Number
617-355-6571
Fax Number
617-730-0478
person
Provider Business Mailing Address Details
Address
300 Longwood Ave
City
Boston
State
Massachusetts
Zip
02115-5724
Phone Number
617-355-6571
Fax Number
617-730-0478
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DL10933 (Massachusetts)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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