JON WAGNER, MD DDS
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1154338101
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Plastic Surgery | 208200000X | No | 95-367 (TX) |
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | No | 055441-1 (NY) |
Frequently Asked Questions
NPI 1154338101 is the National Provider Identifier for JON WAGNER, MD DDS, a Dentist - Oral and Maxillofacial Surgery provider located in Albuquerque, NM. This NPI was enumerated on August 2, 2006.
JON WAGNER, MD DDS practices at 10000 COORS BYP NW, SUITE G-218, Albuquerque, NM 87114.
Quick Facts
- NPI
- 1154338101
- Type
- Individual
- Enumerated
- Aug 2, 2006
- Last Updated
- Apr 4, 2013
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