| Carson B. Wagstaff, Dmd, Plc | |
|
13435 N Lon Adams Rd Marana AZ 85653 | |
| (801) 979-2035 | |
| Not Available |
| Full Name | Carson B. Wagstaff, Dmd, Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13435 N Lon Adams Rd, Marana, Arizona |
| Authorized Official Name and Position | Carson B Wagstaff (OWNER) |
| Authorized Official Contact | 8019792035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carson B. Wagstaff, Dmd, Plc 13435 N Lon Adams Rd Marana AZ 85653 Ph: (801) 979-2035 | Carson B. Wagstaff, Dmd, Plc 13435 N Lon Adams Rd Marana AZ 85653 Ph: (801) 979-2035 |
| NPI Number | 1932530151 |
|---|---|
| Provider Enumeration Date | 12/13/2013 |
| Last Update Date | 12/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932530151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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