DR. Russell Keith Wall, D.D.S.

NPI #1235385428 in Branson, Missouri

Provider Information

NPI Number: 1235385428
Entity Type: Individual
Name: DR. Russell Keith Wall, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 7, 2008
Last Updated: Aug 7, 2008

Practice Location

Address: 221 W COLLEGE ST
City: Branson
State: Missouri
ZIP Code: 65616
Phone: (417) 334-5999

Specialties & Taxonomy Codes

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

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