DR. BRAD WALL, DMD
Dentist - General Practice
Active
Individual
NPI: 1619072444
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | MT1999 (MT) |
Frequently Asked Questions
NPI 1619072444 is the National Provider Identifier for DR. BRAD WALL, DMD, a Dentist - General Practice provider located in Missoula, MT. This NPI was enumerated on September 14, 2006.
DR. BRAD WALL, DMD practices at 1001 SW HIGGINS, SUITE 107, Missoula, MT 59803.
Quick Facts
- NPI
- 1619072444
- Type
- Individual
- Enumerated
- Sep 14, 2006
- Last Updated
- Jul 8, 2007
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