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Chad Wagstaff, DDS
NPI 1730212564 · on the registry since 2007
Practice
- Address
- 2640 N Highway 162
Eden, UT 84310 - Phone
- (801) 745-1100
- Organisation at this address
- Clw Dds Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-06
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 Utah