Individual provider · Type 1 NPI

Elke M. Wagle

Pediatric Dentistry · Boston, MA

NPI number 1720385461 Active

Practice location

300 Longwood Ave, Hunnewell Building 4th Floor
Boston, MA 02115-5724

Call (617) 355-6571 Map

Fax (617) 730-0478

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDL10933 (MA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1720385461

Elke M. Wagle's National Provider Identifier is 1720385461, issued on Feb 15, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Boston, MA. The record was last updated on Feb 15, 2011.