GARY WALL

SYRACUSE, UT
NPI1760850523
Other NameSCOTT WALL
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: UT  266402)
Enumeration Date2015-09-10
Last Update Date2015-09-10
Business Address
-- GARY WALL
780 S 2000 W STE F2
SYRACUSE, UT 84075-9609
Phone number: 801-776-8176
Mailing Address
-- GARY WALL
780 S 2000 W STE F2
SYRACUSE, UT 84075-9609
Phone number: 801-776-8176