Charles C Wall DDS
Charles C Wall DDS is a General Practice Dentistry in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2007.
- Licensed in
- UT
- In the registry since
- 2007
Practice location Address checks out
2200 E 4500 S Ste 240Salt Lake City, UT 84117
Phone: (801) 278-3864
Fax: (801) 278-3868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 51343669922 (UT) |
|---|
Record details
| NPI number | 1306060306 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Wall — Owner · (801) 278-3864 |
| Other names | Wall Family Dentistry |
| NPI enumerated | April 12, 2007 |
| Last updated in NPPES | July 22, 2008 |
| Mailing address | 2200 East 4500 South, Suite 240, Salt Lake City, UT 84117 |
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