Individual provider · Type 1 NPI

Leslie A. Wagner

General Practice Dentistry · Boise, ID

NPI number 1639699036 Active

Practice location

1212 N Cole Rd
Boise, ID 83704-8646

Call (208) 901-7451 Map

Mailing address

4239 E Hardesty Ct
Boise, ID 83716

Other practice locations

8850 W Emerald St Ste 150, Boise, ID 83704-4809 · (208) 323-2294

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	D4846 (ID)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6 other providers at this address

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About NPI 1639699036

Leslie A. Wagner's National Provider Identifier is 1639699036, issued on Jun 27, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Mar 17, 2018.