| NPI | 1306060306 |
|---|---|
| Doing Business As | WALL FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHARLES C WALL Owner 801-278-3864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 51343669922) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-07-22 |