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Stanton Waggoner
NPI 1457779936 · on the registry since 2014 · sole proprietor
Practice
- Address
- 13499 Wetmore Rd
San Antonio, TX 78247 - Phone
- (210) 490-7772
- Organisation at this address
- Stanton F Waggoner Dds Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-02
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 Texas