Individual provider · Type 1 NPI

Kathryn Lee Massey Wagner, DDS

General Practice Dentistry · Jonesboro, AR

NPI number 1184700494 Active

About NPI 1184700494

Kathryn Lee Massey Wagner, DDS's National Provider Identifier is 1184700494, issued on Oct 29, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jonesboro, AR. The record was last updated on Jan 19, 2011.