DR. Carson B Wagstaff, D.M.D.

NPI #1255643359 in Marana, Arizona

Provider Information

NPI Number
1255643359
Entity Type
Individual
Name
DR. Carson B Wagstaff, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Jul 6, 2010
Last Updated
Dec 11, 2013

Practice Location

Address
13435 N LON ADAMS RD
City
Marana
State
Arizona
ZIP Code
85653
Phone
(520) 989-0270

Specialties & Taxonomy Codes

Specialty
Dentist

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