BRAD A WAHLSTROM

WEST JORDAN, UT
NPI1861572455
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  4791609)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
Mr. BRAD A WAHLSTROM d.d.s.
7089 REDWOOD RD
WEST JORDAN, UT 84084-3420
Phone number: 801-566-3003
Mailing Address
Mr. BRAD A WAHLSTROM d.d.s.
7089 REDWOOD RD
WEST JORDAN, UT 84084-3420
Phone number: 801-566-3003
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