Individual
DR. JUDSON B. B. WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
460 S 400 E, BOUNTIFUL, UT 84010-4975
(801) 298-1812
(801) 298-4043
Mailing address
460 S 400 E, BOUNTIFUL, UT 84010-4975
(801) 298-1812
(801) 298-4043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4778458-9922
UT
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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