CHARLES COLEMAN WALL

SALT LAKE CITY, UT
NPI1376985655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: UT  5134366-9922)
Enumeration Date2013-07-26
Last Update Date2013-07-26
Business Address
-- CHARLES COLEMAN WALL DDS
2200 E 4500 S SUITE 240
SALT LAKE CITY, UT 84117-4437
Phone number: 801-278-3864
Mailing Address
-- CHARLES COLEMAN WALL DDS
2200 E 4500 S SUITE 240
SALT LAKE CITY, UT 84117-4437
Phone number: 801-278-3864
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