Alexis D. Wagoner, DA
Dental Assistant · Longview, WA
UnclaimedDANPI 1083700231
- Primary taxonomy
- 126800000X
- Enumerated
- 2006-10-05
- Practice location
- Longview, WA
- Last NPPES update
- 2007-07-08
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.