CARSON B. WAGSTAFF, DMD, PLC

MARANA, AZ
NPI1932530151
Entity TypeOrganization
Authorized ContactCARSON B WAGSTAFF
Owner
801-979-2035
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2013-12-13
Last Update Date2013-12-13
Business Address
CARSON B. WAGSTAFF, DMD, PLC
13435 N LON ADAMS RD
MARANA, AZ 85653
Phone number: 801-979-2035
Mailing Address
CARSON B. WAGSTAFF, DMD, PLC
13435 N LON ADAMS RD
MARANA, AZ 85653
Phone number: 801-979-2035