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Dr. M. Wade Rallison, DDS
Pediatric Dentist in Washington Terrace, Utah
NPI 1548426851

M. Wade Rallison is a Pediatric Dentist based in Washington Terrace, UT and is specialized in Pediatric Dentistry. M. Wade Rallison practices in Washington Terrace, UT and has the professional credentials of DDS. The NPI Number for M. Wade Rallison is 1548426851 and holds a License No. 5118697-9923 (Utah).

The current practice location address for M. Wade Rallison is 5275 S. Adams Ave., Suite C, Washington Terrace, UT and can be reached out via phone at 801-475-6433.

Location: 5275 S. Adams Ave., Suite C, Washington Terrace, UT, 84405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548426851
Provider Name
M. Wade Rallison
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5275 S. Adams Ave., Suite C, Washington Terrace, UT, 84405
Phone Number
801-475-6433
Fax Number
Provider Enumeration Date
08/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5275 S. Adams Ave., Suite C
City
Washington Terrace
State
Utah
Zip
84405
Phone Number
801-475-6433
Fax Number
person
Provider Business Mailing Address Details
Address
5275 S. Adams Ave., Suite C
City
Washington Terrace
State
Utah
Zip
84405
Phone Number
801-475-6433
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
5118697-9923 (Utah)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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