DR. Derek Heath Wall, DDS

NPI #1518046606 in Lynn Haven, Florida

Provider Information

NPI Number: 1518046606
Entity Type: Individual
Name: DR. Derek Heath Wall, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 801 OHIO AVENUE
City: Lynn Haven
State: Florida
ZIP Code: 32444
Phone: (850) 265-3696

Specialties & Taxonomy Codes

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

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Organizations

Provider Name	Specialty	City
Derek H. Wall DDS PA	Dentist - General Practice	Lynn Haven	AI Deep Dive

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