DR. KEVIN WAGNER

DMD specializing in dentist in Chubbuck, Idaho

NPI: 1558094508

Provider Type

1

Practice Locations

Mailing Location

4170 HAWTHORNE RD APT A307

CHUBBUCK, ID 83202

Practice Location

921 S 8TH AVENUE STOP 8088

POCATELLO, ID 83201

📞 6099230168

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:7/7/2022
Last Updated:7/7/2022

Credentials

Primary Credential:DMD
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