Dr. Brian Wagoner
Dr. Brian Wagoner is a General Practice Dentistry in Flora, Indiana. Licensed in Indiana. Registered with an NPI since 2006.
- Licensed in
- IN
- In the registry since
- 2006
Practice location Address checks out
17 S Division StFlora, IN 46929-1335
Phone: (574) 967-4434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 12009376 (IN) |
|---|
Record details
| NPI number | 1831251313 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 14, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 17 S Division St, Flora, IN 46929-1335 |
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Dr. Gordon D Wagoner, DDS, MAGD
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