NPI 1558435149

Robert G. Wagner, MDDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Oakland, CA

Practice location

Address: 280 W Macarthur Blvd, Oakland, CA 94611-5642
Phone: (510) 752-1000
Mailing address: 1800 Harrison St Fl 7, Oakland, CA 94612-3429

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence A87568 (CA)

Other Oral & Maxillofacial Surgery providers in California →

Registry record

NPI: 1558435149
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2006
Record last updated: 8 Jul 2007

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.