DR. Timothy Jason Wall, D.D.S.
NPI #1194938100 in San Angelo, Texas
Provider Information
- NPI Number
- 1194938100
- Entity Type
- Individual
- Name
- DR. Timothy Jason Wall, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- May 7, 2007
- Last Updated
- Jun 10, 2008
Practice Location
- Address
- 4335 COLLEGE HILLS BLVD
- City
- San Angelo
- State
- Texas
- ZIP Code
- 76904-6919
- Phone
- (214) 226-3599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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