DR. KEVIN WAGNER, DMD

Dentist

Active Individual
NPI: 1558094508

Practice Address

921 S 8TH AVENUE STOP 8088
Pocatello, ID 83201

Phone: (609) 923-0168

Specialties

Specialty Code Primary License
Dentist 122300000X Yes D-5422 (ID)

Frequently Asked Questions

NPI 1558094508 is the National Provider Identifier for DR. KEVIN WAGNER, DMD, a Dentist provider located in Pocatello, ID. This NPI was enumerated on July 7, 2022.
DR. KEVIN WAGNER, DMD practices at 921 S 8TH AVENUE STOP 8088, Pocatello, ID 83201.

Quick Facts

NPI
1558094508
Type
Individual
Enumerated
Jul 7, 2022
Last Updated
Jul 7, 2022

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