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1760850523
GARY WALL
SYRACUSE, UT
NPI
1760850523
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Other Name
SCOTT WALL
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: UT 266402)
Enumeration Date
2015-09-10
Last Update Date
2015-09-10
Business Address
-- GARY WALL
780 S 2000 W STE F2
SYRACUSE, UT 84075-9609
Phone number: 801-776-8176
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Mailing Address
-- GARY WALL
780 S 2000 W STE F2
SYRACUSE, UT 84075-9609
Phone number: 801-776-8176
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