DR. Douglas R Wall, D.D.S.

NPI #1467462002 in Long Beach, California

Provider Information

NPI Number: 1467462002
Entity Type: Individual
Name: DR. Douglas R Wall, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 8, 2006
Last Updated: Jun 30, 2008

Practice Location

Address: 5479 E ABBEYFIELD ST
Address 2: #4
City: Long Beach
State: California
ZIP Code: 90815-3050
Phone: (562) 597-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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