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1255643359
CARSON B WAGSTAFF
MARANA, AZ
NPI
1255643359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D-4299)
Enumeration Date
2010-07-06
Last Update Date
2013-12-11
Business Address
Dr. CARSON B WAGSTAFF D.M.D.
13435 N LON ADAMS RD
MARANA, AZ 85653
Phone number: 520-989-0270
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Mailing Address
Dr. CARSON B WAGSTAFF D.M.D.
1225 W MOODIE DR
ORO VALLEY, AZ 85755-6000
Phone number: 801-979-2035
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