NPI 1003216698

Wagner Dental LLC

Organisation Dentist Las Vegas, NV

Practice location

Address: 2045 Village Center Cir, Las Vegas, NV 89134-6251
Phone: (702) 878-5599
Fax: (702) 878-0173

Authorised official

Name: Ronald Kent Wagner
Title: Manager
Phone: (702) 878-5599

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1003216698
Entity type: Organization
NPI issued: 2 Sep 2014
Record last updated: 2 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.