Organization · Type 2 NPI

Stephen A. Wagner Dds,pc

Dental Clinic/Center · Albuquerque, NM

NPI number 1932332285 Active

Practice location

801 Encino Pl NE Ste A3
Albuquerque, NM 87102-2639

Call (505) 232-3588 Map

Fax (505) 232-3593

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XDD1150 (NM)

Dental Clinic/Center: Definition to come...

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About NPI 1932332285

Stephen A. Wagner Dds,pc's National Provider Identifier is 1932332285, issued on Sep 2, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 2, 2009.