DR. Matthew Tyler Wall, DMD
NPI #1083247209 in Aiken, South Carolina
Provider Information
- NPI Number
- 1083247209
- Entity Type
- Individual
- Name
- DR. Matthew Tyler Wall, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Feb 17, 2020
- Last Updated
- May 10, 2022
Practice Location
- Address
- 174 CREPE MYRTLE DR
- City
- Aiken
- State
- South Carolina
- ZIP Code
- 29803-7543
- Phone
- (803) 641-3883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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