ROBERT VAN WAGENEN, DDS
Dentist - General Practice
Active
Individual
NPI: 1942752837
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | DEN.00202992 (CO) |
Frequently Asked Questions
NPI 1942752837 is the National Provider Identifier for ROBERT VAN WAGENEN, DDS, a Dentist - General Practice provider located in Fort Drum, NY. This NPI was enumerated on October 26, 2016.
ROBERT VAN WAGENEN, DDS practices at 10590 ENDURING FREEDOM DR, Fort Drum, NY 13602.
Quick Facts
- NPI
- 1942752837
- Type
- Individual
- Enumerated
- Oct 26, 2016
- Last Updated
- Dec 11, 2023
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