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1831405513
BRAD A. WAHLSTROM, D.D.S., P.C.
WEST JORDAN, UT
NPI
1831405513
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Entity Type
Organization
Authorized Contact
BRAD A. WAHLSTROM
President
801-566-3003
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 4791609-9923)
Enumeration Date
2010-08-19
Last Update Date
2010-08-19
Business Address
BRAD A. WAHLSTROM, D.D.S., P.C.
7089 S REDWOOD RD
WEST JORDAN, UT 84084-3420
Phone number: 801-566-3003
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Mailing Address
BRAD A. WAHLSTROM, D.D.S., P.C.
7089 S REDWOOD RD
WEST JORDAN, UT 84084-3420
Phone number: 801-566-3003
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