Individual
JOHN WAHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 E TABERNACLE ST, ST GEORGE, UT 84770-2941
(435) 688-1400
Mailing address
960 HERITAGE DR UNIT 10, SANTA CLARA, UT 84765-1270
(801) 910-5357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13972922-9926
UT
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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