NPI 1093044125

Dale Eillott Wagman, DDS

Practitioner Dentist Howell, MI

Practice location

Address: 2972 Weatherly Rd, Howell, MI 48843-8880
Phone: (517) 546-6254

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 11938 (MI)

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Registry record

NPI: 1093044125
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Dec 2009
Record last updated: 20 Dec 2009

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.