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Search › Massachusetts › 1223P0700X

Elyse Wagner, DMD

NPI 1023509007 · on the registry since 2018

Practice

Address
93 Union St Ste 402
Newton Centre, MA 02459
Phone
(179) 650-0606
Organisation at this address
Center For Advanced Dental Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
1223P0700X
1223P0700X
Also registered as
390200000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-05-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts