BRAD A. WAHLSTROM, D.D.S., P.C.

WEST JORDAN, UT
NPI1831405513
Entity TypeOrganization
Authorized ContactBRAD A. WAHLSTROM
President
801-566-3003
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: UT  4791609-9923)
Enumeration Date2010-08-19
Last Update Date2010-08-19
Business Address
BRAD A. WAHLSTROM, D.D.S., P.C.
7089 S REDWOOD RD
WEST JORDAN, UT 84084-3420
Phone number: 801-566-3003
Mailing Address
BRAD A. WAHLSTROM, D.D.S., P.C.
7089 S REDWOOD RD
WEST JORDAN, UT 84084-3420
Phone number: 801-566-3003