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Dale Wagner, D.D.S
NPI 1184846933 · on the registry since 2007 · sole proprietor
Practice
- Address
- 11506 Broadway
Whittier, CA 90601 - Phone
- (562) 695-8718
- Fax
- (562) 692-4006
- Organisation at this address
- Thomas R Gonzales, D.D.S.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 California