DR. Nicholas Patrick Wall, DDS

NPI #1225169154 in Anthem, Arizona

Provider Information

NPI Number
1225169154
Entity Type
Individual
Name
DR. Nicholas Patrick Wall, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Mar 9, 2007
Last Updated
Aug 19, 2008

Practice Location

Address
3655 W ANTHEM WAY
Address 2
SUITE A-117
City
Anthem
State
Arizona
ZIP Code
85086
Phone
(623) 551-5555

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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