DR. Brent Wall, DDS
NPI #1497804637 in Panama City Beach, Florida
Provider Information
- NPI Number
- 1497804637
- Entity Type
- Individual
- Name
- DR. Brent Wall, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jan 9, 2007
- Last Updated
- Oct 12, 2023
Practice Location
- Address
- 900 THOMAS DR
- State
- Florida
- ZIP Code
- 32408-7442
- Phone
- (850) 249-9311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist |
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