CLW DDS PLLC
Dentist at Highway 162, Eden, UT

License number
Utah 8926074-9922
Category
Dentist
Type
Dentist
Owner
Name: CHAD WAGSTAFF DDS
Title: PRESIDENT
Phone: (801) 745-1100
Address
Address
2640 Highway 162 N, Eden, UT 84310
National Provider ID: 1871626630
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CLW DDS PLLC at bizstanding.com

CLW DDS, PLLC

2640 N Hwy 162 UNIT 101, Eden, UT 84310

Registration:
Apr 14, 2014
State ID:
9008706-0162
Business type:
LLC - Professional
Agent:
Chad Wagstaff,2640 N Hwy 162 UNIT 101, Eden, UT 84310 (Physical)

Dentist licenses in Utah