Individual provider · Type 1 NPI

Jonathon Wagner, DDS

General Practice Dentistry · Santa Cruz, CA

NPI number 1063505477 Active

About NPI 1063505477

Jonathon Wagner, DDS's National Provider Identifier is 1063505477, issued on Sep 30, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Santa Cruz, CA. The record was last updated on Jul 8, 2007.