Elizabeth Wagner, DMD

NPI 1659545184 · on the registry since 2008 · sole proprietor

Practice

Address: 100 E Lehigh Ave
Philadelphia, PA 19125
Phone: (215) 707-3613
Organisation at this address: Tus Ojos Inc
Temple University
Special Smiles Ltd
Temple Physicians Inc
Temple Physicians Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 165

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-04-16

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 Pennsylvania