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Gary Wall
Pediatric Dentist in Syracuse, Utah
NPI 1760850523

Gary Wall is a Pediatric Dentist based in Syracuse, UT and is specialized in Pediatric Dentistry. Gary Wall practices in Syracuse, UT. The NPI Number for Gary Wall is 1760850523 and holds a License No. 266402 (Utah).

The current practice location address for Gary Wall is 780 S 2000 W Ste F2, Syracuse, UT and can be reached out via phone at 801-776-8176.

Location: 780 S 2000 W Ste F2, Syracuse, UT, 84075-9609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760850523
Provider Name
Gary Wall
Credential
Provider Entity Type
Individual
Gender
Male
Address
780 S 2000 W Ste F2, Syracuse, UT, 84075-9609
Phone Number
801-776-8176
Fax Number
Provider Enumeration Date
09/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
780 S 2000 W Ste F2
City
Syracuse
State
Utah
Zip
84075-9609
Phone Number
801-776-8176
Fax Number
person
Provider Business Mailing Address Details
Address
780 S 2000 W Ste F2
City
Syracuse
State
Utah
Zip
84075-9609
Phone Number
801-776-8176
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
266402 (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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