Robert E Wall Dds, PC

NPI #1255402665 in Madison, Indiana

Provider Information

NPI Number: 1255402665
Entity Type: Organization
Organization Name: Robert E Wall Dds, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 753 W MAIN ST
City: Madison
State: Indiana
ZIP Code: 47250-3150
Phone: (812) 265-5962

Authorized Official

Name: ROBERT E WALL, DDS
Title: OWNER
Phone: (812) 265-5962

Specialties & Taxonomy Codes

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

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