Search › Arizona › 122300000X
Carson Wagstaff, D.M.D
NPI 1255643359 · on the registry since 2010
Practice
- Address
- 13435 N Lon Adams Rd
Marana, AZ 85653 - Phone
- (520) 989-0270
- Organisation at this address
- Grant D. Walton Dmd, Ms, Pc
Carson B. Wagstaff, Dmd, PlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona