DR. Byron W. Wall, D.D.S

NPI #1164533774 in Albuquerque, New Mexico

Provider Information

NPI Number
1164533774
Entity Type
Individual
Name
DR. Byron W. Wall, D.D.S
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S
Enumeration Date
Aug 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
6800 MONTGOMERY BLVD NE STE M
ZIP Code
87109-1425
Phone
(505) 883-4488

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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