Carson B. Wagstaff, Dmd, Plc

NPI #1932530151 in Marana, Arizona

Provider Information

NPI Number
1932530151
Entity Type
Organization
Organization Name
Carson B. Wagstaff, Dmd, Plc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 13, 2013
Last Updated
Dec 13, 2013

Practice Location

Address
13435 N LON ADAMS RD
City
Marana
State
Arizona
ZIP Code
85653
Phone
(801) 979-2035

Authorized Official

Name
CARSON B WAGSTAFF, DMD
Title
OWNER
Phone
(801) 979-2035

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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