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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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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