DR. Michelle Anne Wall, D.D.S.
NPI #1104081447 in Hemet, California
Provider Information
- NPI Number
- 1104081447
- Entity Type
- Individual
- Name
- DR. Michelle Anne Wall, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jul 25, 2008
- Last Updated
- Jul 25, 2008
Practice Location
- Address
- 255 N GILBERT ST
- Address 2
- SUITE C2
- City
- Hemet
- State
- California
- ZIP Code
- 92543-4066
- Phone
- (951) 766-4211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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