institution
Stephen A. Wagner Dds,pc
Dental Clinic/Center in Albuquerque, New Mexico
NPI 1932332285

Stephen A. Wagner Dds,pc is a Dental Clinic/Center based in Albuquerque, NM and is specialized in Dental. Stephen A. Wagner Dds,pc practices in Albuquerque, NM. The NPI Number for Stephen A. Wagner Dds,pc is 1932332285 and holds a License No. DD1150 (New Mexico).

The current practice location address for Stephen A. Wagner Dds,pc is 801 Encino Pl Ne Ste A3, Albuquerque, NM and can be reached out via phone at 505-232-3588 and via fax at 505-232-3593. You can also correspond with Stephen A. Wagner Dds,pc through the mailing address at 801 ENCINO PL NE STE A3, ALBUQUERQUE, NM - 87102-2639 (mailing address contact number: 505-232-3588).

Location: 801 Encino Pl Ne Ste A3, Albuquerque, NM, 87102-2639
institution
Provider Profile Details
NPI Number
1932332285
Provider Name
Stephen A. Wagner Dds,pc
Credential
Provider Entity Type
Organization
Address
801 Encino Pl Ne Ste A3, Albuquerque, NM, 87102-2639
Phone Number
505-232-3588
Fax Number
505-232-3593
Provider Enumeration Date
09/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82743 05 NM
institution
Provider Business Practice Location Address Details
Address
801 Encino Pl Ne Ste A3
City
State
Zip
87102-2639
Phone Number
505-232-3588
Fax Number
505-232-3593
person
Provider Business Mailing Address Details
Address
801 Encino Pl Ne Ste A3
City
State
Zip
87102-2639
Phone Number
505-232-3588
Fax Number
505-232-3593
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
DD1150 (New Mexico)
Definition
Definition to come...
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