Charles Wall, DDS

NPI 1376985655 · on the registry since 2013 · sole proprietor

Practice

Address: 2200 E 4500 S
Suite 240
Salt Lake City, UT 84117
Phone: (801) 278-3864
Fax: (801) 278-3868
Organisation at this address: Charles C Wall Dds
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-07-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah