MR. Brad A Wahlstrom, D.D.S.
NPI #1861572455 in West Jordan, Utah
Provider Information
- NPI Number
- 1861572455
- Entity Type
- Individual
- Name
- MR. Brad A Wahlstrom, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7089 REDWOOD RD
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84084-3420
- Phone
- (801) 566-3003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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