Individual provider · Type 1 NPI

Stanton Waggoner

General Practice Dentistry · San Antonio, TX

NPI number 1457779936 Active

About NPI 1457779936

Stanton Waggoner's National Provider Identifier is 1457779936, issued on Apr 2, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Antonio, TX. The record was last updated on Apr 2, 2014.