Individual
MRS. JENNIFER L. WAHLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2480 S HIGHWAY 89 STE A, PERRY, UT 84302-6727
(435) 246-4602
(435) 723-9445
Mailing address
1510 OAKRIDGE DR, OGDEN, UT 84403-1328
(435) 723-9443
(435) 723-9445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
374327-9922
UT
Other
Enumeration date
03/02/2006
Last updated
09/13/2024
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