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

DR. KATIE-ROSE RADIN WAGNER, DDS

Active Sole Proprietor

DR. KATIE-ROSE RADIN WAGNER, DDS is a Dentist healthcare provider located in SOMERVILLE, Massachusetts. NPI 1760793087 is currently active in the NPPES registry. Verify at CMS.

Dentist · SOMERVILLE, MA

Registration Details

NPI Number
1760793087
Provider Type
Individual
Gender
Female
NPI Issued
Jul 1, 2010 (16.104134047547 yrs)
Last Updated
Mar 19, 2012
License
DN1855704 (MA)
Sole Proprietor
Yes

Practice Information

Address
6 KENSINGTON AVE
SOMERVILLE, MA, 021452107
Browse MA providers · Browse ZIP 02145
Phone
6176232100
Primary Specialty
Dentist
122300000X

Other Dentist Providers in SOMERVILLE, MA

Name Credential NPI
DR. ANTHONY PAUL PARRELLA DMD 1164580239
DR. EMILY B CHANG DDS 1487707030
DR. GUILLERMO RICARDO RECINOS DMD 1285770792
DR. KAREN ANN BRIGHT D.M.D. 1902940372
MARHAMA ALVI SHAH D.M.D 1104076157
DR. SANJEEVAN VIRK D.M.D. 1659517498
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.