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Clw DDS PLLC — NPI 1871626630, Eden, UT | NPI Central

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NPI 1871626630

OrganizationActive

Clw DDS PLLC

NPI 1871626630 · Dentist · Eden, UT

Provider details

NPI number: 1871626630
Entity type: Organization
Primary specialty: DentistDental Providers
Organization subpart: No
Authorized official: Chad Wagstaff, President(801) 745-1100
License: 8926074-9922 (UT)

Specialties & taxonomies

DentistPrimary122300000XLicense 8926074-9922 (UT)
Dental Providers

Practice location

2640 N Highway 162

Eden, UT 84310-9745

Phone: (801) 745-1100

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

Po Box 805

Eden, UT 84310-0805

Registry dates

Enumerated: 2007-03-13
Last updated: 2014-11-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.