OrganizationActive
Brad A. Wahlstrom, D.D.S., P.C.
NPI 1831405513 · Dentist · West Jordan, UT
Provider details
- NPI number
- 1831405513
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Brad Wahlstrom, President(801) 566-3003
- License
- 4791609-9923 (UT)
Specialties & taxonomies
Dental Providers
Practice location
7089 S Redwood Rd
West Jordan, UT 84084-3420
Phone: (801) 566-3003
Fax: (801) 568-1710
Approximate (ZIP-level) locationGet directions
Mailing address
7089 S Redwood Rd
West Jordan, UT 84084-3420
Registry dates
- Enumerated
- 2010-08-19
- Last updated
- 2010-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.