Wagner, Yen T
Wagner, Yen T is an individual health care provider with primary practice located at 3965 N Meridian St Apt 1C , Indianapolis IN 46208-4035. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Wagner, Yen T can be contacted via phone (317) 925-5811.Contact Information
Primary practice address
3965 N Meridian St Apt 1C
Indianapolis IN 46208-4035
Phone: (317) 925-5811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 53337 | California |
| Dental Providers / Dentist | 122300000X | 12010286A | Indiana |
Profile Details
| NPI number | 1285613000 |
|---|---|
| LBN Legal business name | Wagner, Yen T |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jul 30th, 2009 - about 17 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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