Chad L Wagstaff, DDS

NPI #1730212564 in Eden, Utah

Provider Information

NPI Number: 1730212564
Entity Type: Individual
Name: Chad L Wagstaff, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 13, 2007
Last Updated: Nov 6, 2014

Practice Location

Address: 2640 N HIGHWAY 162
City: Eden
State: Utah
ZIP Code: 84310-9745
Phone: (801) 745-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

Provider Name	Specialty	City
Iverson Dental, Inc.	Dentist - General Practice	Eden	AI Deep Dive

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