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1992884118
JUDSON B. B. WALL
BOUNTIFUL, UT
NPI
1992884118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: UT 4778458-9922)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
DR. JUDSON B. B. WALL DDS
460 S 400 E
BOUNTIFUL, UT 84010-4975
Phone number: 801-298-1812
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Mailing Address
DR. JUDSON B. B. WALL DDS
460 S 400 E
BOUNTIFUL, UT 84010-4975
Phone number: 801-298-1812
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