Clyde Waggoner, DMD

NPI 1881757854 · on the registry since 2006

Practice

Address: 3955 E Exposition Ave
Suite 520
Denver, CO 80209
Phone: (303) 777-1603
Organisation at this address: Cim Services Pc
Blue Mandala, Llc
Bamboo Holdings, Llc
Inner Alchemy Therapy
Dr Shannon Connery Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 79

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Colorado