DR. Matthew D Wall, DDS, MSD
NPI #1114253846 in Lacey, Washington
Provider Information
- NPI Number
- 1114253846
- Entity Type
- Individual
- Name
- DR. Matthew D Wall, DDS, MSD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DDS, MSD
- Enumeration Date
- Oct 31, 2009
- Last Updated
- Nov 2, 2009
Practice Location
- Address
- 5320 CORPORATE CENTER LOOP SE
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-5557
- Phone
- (360) 491-7080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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|---|---|
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