DR. Brad J Wall, DMD

NPI #1619072444 in Missoula, Montana

Provider Information

NPI Number: 1619072444
Entity Type: Individual
Name: DR. Brad J Wall, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Sep 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1001 SW HIGGINS
Address 2: SUITE 107
City: Missoula
State: Montana
ZIP Code: 59803
Phone: (406) 728-6068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

Provider Name	Specialty	City
Sapphire Dental Group, PC	Dentist - General Practice	Missoula	AI Deep Dive

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