Individual provider · Type 1 NPI

Brad J. Wall, DMD

General Practice Dentistry · Missoula, MT

NPI number 1619072444 Active

About NPI 1619072444

Brad J. Wall, DMD's National Provider Identifier is 1619072444, issued on Sep 14, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Missoula, MT. The record was last updated on Jul 8, 2007.