CHAD WAGSTAFF, DDS

Dentist - General Practice

Active Individual
NPI: 1730212564

Practice Address

2640 N HIGHWAY 162
Eden, UT 84310

Phone: (801) 745-1100

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 019-025276 (IL)

Frequently Asked Questions

NPI 1730212564 is the National Provider Identifier for CHAD WAGSTAFF, DDS, a Dentist - General Practice provider located in Eden, UT. This NPI was enumerated on March 13, 2007.
CHAD WAGSTAFF, DDS practices at 2640 N HIGHWAY 162, Eden, UT 84310.

Quick Facts

NPI
1730212564
Type
Individual
Enumerated
Mar 13, 2007
Last Updated
Nov 6, 2014

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