BRAD J WALL

MISSOULA, MT
NPI1619072444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: MT  MT1999)
Enumeration Date2006-09-14
Last Update Date2007-07-08
Business Address
DR. BRAD J WALL DMD
1001 SW HIGGINS SUITE 107
MISSOULA, MT 59803
Phone number: 406-728-6068
Mailing Address
DR. BRAD J WALL DMD
1001 SW HIGGINS SUITE 107
MISSOULA, MT 59803
Phone number: 406-728-6068
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