DR. William David Theobald, DDS

NPI #1114991239 in Anchorage, Alaska

Provider Information

NPI Number: 1114991239
Entity Type: Individual
Name: DR. William David Theobald, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2925 DEBARR ROAD
Address 2: DEPARTMENT OF VETERANS AFFAIRS
City: Anchorage
State: Alaska
ZIP Code: 99508
Phone: (907) 257-4940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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