Brad A. Wahlstrom, D.d.s., P.c.
NPI #1831405513 in West Jordan, Utah
Provider Information
- NPI Number
- 1831405513
- Entity Type
- Organization
- Organization Name
- Brad A. Wahlstrom, D.d.s., P.c.
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 19, 2010
- Last Updated
- Aug 19, 2010
Practice Location
- Address
- 7089 S REDWOOD RD
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84084-3420
- Phone
- (801) 566-3003
Authorized Official
- Name
- DR. BRAD A. WAHLSTROM, D.D.S.
- Title
- PRESIDENT
- Phone
- (801) 566-3003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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