DR. TARA WAGNER, DDS
Dentist
Active
Individual
NPI: 1396840559
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | D11791 (MN) |
Frequently Asked Questions
NPI 1396840559 is the National Provider Identifier for DR. TARA WAGNER, DDS, a Dentist provider located in White Bear Lake, MN. This NPI was enumerated on September 13, 2006.
DR. TARA WAGNER, DDS practices at 4700 WHITE BEAR PARKWAY, White Bear Lake, MN 55110.
Quick Facts
- NPI
- 1396840559
- Type
- Individual
- Enumerated
- Sep 13, 2006
- Last Updated
- Jul 8, 2007
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