Individual provider · Type 1 NPI
Peter Louis Wagner, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Chehalis, WA
Practice location
1327 Bishop Rd
Chehalis, WA 98532-9263
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | D10580 (OR) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DE60732747 (WA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
Other orthodontics and dentofacial orthopedics dentistry providers in Chehalis
About NPI 1235676008
Peter Louis Wagner, DMD's National Provider Identifier is 1235676008, issued on Jan 31, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Chehalis, WA. The record was last updated on Sep 19, 2024.