DR. Jeffrey H Wallen, DDS

NPI #1497729396 in Myrtle Beach, South Carolina

Provider Information

NPI Number
1497729396
Entity Type
Individual
Name
DR. Jeffrey H Wallen, DDS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Oral & Maxillofacial Surgery
Credential
DDS
Enumeration Date
Feb 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1200 48TH AVE N
Address 2
SUITE 101
ZIP Code
29577-5425
Phone
(843) 449-4993

Specialties & Taxonomy Codes

Specialty
Oral & Maxillofacial Surgery

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