| Clw Dds Pllc | |
|
2640 N Highway 162 Eden UT 84310-9745 | |
| (801) 745-1100 | |
| Not Available |
| Full Name | Clw Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2640 N Highway 162, Eden, Utah |
| Authorized Official Name and Position | Chad Wagstaff (PRESIDENT) |
| Authorized Official Contact | 8017451100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clw Dds Pllc Po Box 805 Eden UT 84310-0805 Ph: () - | Clw Dds Pllc 2640 N Highway 162 Eden UT 84310-9745 Ph: (801) 745-1100 |
| NPI Number | 1871626630 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 11/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871626630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8926074-9922 (Utah) | Primary |
Iverson & Larsen Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2627 N Highway 162, Eden, UT 84310 Phone: 801-745-3882 Fax: 801-745-6207 | |
Iverson & Burton Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2627 N Highway 162, Eden, UT 84310 Phone: 801-745-3882 Fax: 801-745-6207 | |
Iverson Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2627 N Highway 162, Eden, UT 84310 Phone: 801-745-3882 Fax: 801-745-6207 |