Douglas M Wallen
NPI #1407010176 in Champaign, Illinois
Provider Information
- NPI Number
- 1407010176
- Entity Type
- Individual
- Name
- Douglas M Wallen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 11, 2008
- Last Updated
- Jul 11, 2008
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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