Wagner, Woodrow Wilson
Wagner, Woodrow Wilson is an sole proprietor health care provider with primary practice located at 754 S Main St Suite #1, St George UT 84770-5504. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wagner, Woodrow Wilson can be contacted via phone (435) 674-9777.Contact Information
Primary practice address
754 S Main St Suite #1
St George UT 84770-5504
Phone: (435) 674-9777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 145542-9922 | Utah |
Profile Details
| NPI number | 1871620641 |
|---|---|
| LBN Legal business name | Wagner, Woodrow Wilson |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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