| Wagner Orthodontics | |
|
1327 Bishop Rd Chehalis WA 98532-9263 | |
| (360) 748-6636 | |
| (360) 748-3176 |
| Full Name | Wagner Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1327 Bishop Rd, Chehalis, Washington |
| Authorized Official Name and Position | Kristin Link (OFFICE MANAGER) |
| Authorized Official Contact | 3607486636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wagner Orthodontics 1327 Bishop Rd Chehalis WA 98532-9263 Ph: (360) 748-6636 | Wagner Orthodontics 1327 Bishop Rd Chehalis WA 98532-9263 Ph: (360) 748-6636 |
| NPI Number | 1003465964 |
|---|---|
| Provider Enumeration Date | 09/04/2019 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003465964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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