Scott Allan Wagnild, DDS Valid NPI
Individual provider · Dentist · Fergus Falls, MN
- NPI
- 1578682035
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 10677 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-28
- Last updated
- 2020-12-02
Practice location
1108 Western Ave
Fergus Falls, MN 56537-4808
(218) 736-4000