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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK ALBERT WAGGONNER, DDS

Active

DR. MARK ALBERT WAGGONNER, DDS is a General Dentistry healthcare provider located in SUN CITY, California. NPI 1578541355 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SUN CITY, CA

Registration Details

NPI Number
1578541355
Provider Type
Individual
Gender
Male
NPI Issued
Jan 3, 2006 (20.617742701765 yrs)
Last Updated
Jul 8, 2007
License
24189 (CA)

Practice Information

Address
28401 BRADLEY RD
SUN CITY, CA, 925863040
Browse CA providers · Browse ZIP 92586
Phone
9516796355
Fax
9516796355
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in SUN CITY, CA

Name Credential NPI
LYNDA MOLSTAD DDS 1225148265
DR. MICHAEL R BRYANT DDS 1699886002
DR. JAMES S WEE DDS 1295821700
DR. JUAN CARLOS ROMERO D.D.S. 1790865491
DR. VALENTINA URBANO ARANETA DDS 1528123544
DR. GLENN A. MARTIN D.D.S. 1154479699
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.