Individual provider · Type 1 NPI

Paul M. Wagenaar, DDS

General Practice Dentistry · Centennial, CO

NPI number 1194747436 Active

About NPI 1194747436

Paul M. Wagenaar, DDS's National Provider Identifier is 1194747436, issued on Jul 24, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Centennial, CO. The record was last updated on Jul 8, 2007.