SearchMichigan1223P0700X

David Wagner, D.D.S

NPI 1841539905 · on the registry since 2013 · sole proprietor

Practice

Address
500 N Leroy St
Fenton, MI 48430
Phone
(810) 629-8272
Fax
(810) 629-3218

Registry record

Primary taxonomy
1223P0700X
1223P0700X
Also registered as
1223P0700X
Licence states on file
PA, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-07-14

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 Michigan