SearchUtah122300000X

Benjamin Wall, D.D.S

NPI 1659542215 · on the registry since 2008

Practice

Address
10894 S River Front Pkwy
South Jordan, UT 84095
Phone
(801) 878-1471
Organisation at this address
Roseman University Of Health Sciences, A Nevada Non-Profit Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
1223G0001X
122300000X
122300000X
Licence states on file
CO, WA, AZ, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-05-16

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