Individual
DR. CLYDE E WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3955 E EXPOSITION AVE, SUITE 520, DENVER, CO 80209-5000
(303) 777-1603
Mailing address
3955 E EXPOSITION AVE, SUITE 520, DENVER, CO 80209-5000
(303) 777-1603
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7506
CO
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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