BRADLEY WALLACE

SANDY, UT
NPI1487546305
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  14228509-9926)
Enumeration Date2025-07-16
Last Update Date2025-07-16
Business Address
BRADLEY WALLACE DMD
853 E 9400 S
SANDY, UT 84094-3655
Phone number: 801-572-5550
Mailing Address
BRADLEY WALLACE DMD
5327 W CANARY GRASS WAY
SOUTH JORDAN, UT 84009-1399
Phone number: 801-662-8371
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