Abigail Wallace

NPI 1982356630 · on the registry since 2022

Practice

Address: 533 W State Rd Ste 103
Pleasant Grove, UT 84062
Phone: (801) 506-6695
Organisation at this address: Eddie Faddis, Dds, Pc
Piinnacle Dental Parrtners
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 57

Registry record

Primary taxonomy: 106S00000X
106S00000X
Also registered as: 172V00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-01-24

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