Clyde E Waggoner DMD

NPI 1881757854 - Dentist - 1223S0112X

NPI Details
NPI 1881757854
Gender Male
Enumeration Date 12/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3955 E EXPOSITION AVE
SUITE 520
DENVER CO, 80209-5000, US
Phone (303) 777-1603
Fax
Business Location
3955 E EXPOSITION AVE
SUITE 520
DENVER CO, 80209-5000, US
Phone (303) 777-1603
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Colorado
License Number 7506
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According to our database, Dr. Clyde E Waggoner DMD NPI is 1881757854, taxonomy code is 1223S0112X and license number is 7506, license state is located at Colorado. Clyde E Waggoner DMD physically located at 3955 E Exposition Ave, Denver CO, 80209-5000. NPI Number Clyde E Waggoner DMD has the Individual type.

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1881757854 NPI number is provided on an as is basis without warranty of any kind. 1881757854 is maintained by the National Plan & Provider Enumeration System. The contents of Clyde E Waggoner DMD are for informational purposes only.