DR. JENNIFER VAN WAGONER, DMD
Dentist
Active
Individual
NPI: 1396974572
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | No | 5912 (NV) |
| Dentist | 122300000X | Yes | 5912 (NV) |
Frequently Asked Questions
NPI 1396974572 is the National Provider Identifier for DR. JENNIFER VAN WAGONER, DMD, a Dentist provider located in St. Ignatius, MT. This NPI was enumerated on July 8, 2009.
DR. JENNIFER VAN WAGONER, DMD practices at 35401 MISSION DR, St. Ignatius, MT 59865.
Quick Facts
- NPI
- 1396974572
- Type
- Individual
- Enumerated
- Jul 8, 2009
- Last Updated
- Oct 17, 2014
Nearby Providers
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RANDY TRUDEAU, PA-C
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ROSE OSTEOPATHIC CLINIC, INC.
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-
DR. MICHAEL RUHKALA, D.D.S
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PATTY GIERKE, RN
Registered Nurse - Community Health