CHARLES WALL, DDS

Dentist

Active Individual
NPI: 1376985655

Practice Address

2200 E 4500 S
SUITE 240
Salt Lake City, UT 84117

Phone: (801) 278-3864

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 5134366-9922 (UT)

Frequently Asked Questions

NPI 1376985655 is the National Provider Identifier for CHARLES WALL, DDS, a Dentist provider located in Salt Lake City, UT. This NPI was enumerated on July 26, 2013.
CHARLES WALL, DDS practices at 2200 E 4500 S, SUITE 240, Salt Lake City, UT 84117.

Quick Facts

NPI
1376985655
Type
Individual
Enumerated
Jul 26, 2013
Last Updated
Jul 26, 2013

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