Search › Washington › 1223X0400X
Peter Wagner, DMD
NPI 1235676008 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1327 Bishop Rd
Chehalis, WA 98532 - Phone
- (360) 748-6636
- Organisation at this address
- Wagner Orthodontics
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Also registered as
- 122300000X
- Licence states on file
- OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-19
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 Washington