Andrew J. Walls Dds, PC

NPI #1588805295 in Blanchard, Oklahoma

Provider Information

NPI Number: 1588805295
Entity Type: Organization
Organization Name: Andrew J. Walls Dds, PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 11, 2009
Last Updated: Mar 11, 2009

Practice Location

Address: 1019 N COUNCIL AVE
Address 2: SUITE #2
City: Blanchard
State: Oklahoma
ZIP Code: 73010-8003
Phone: (405) 485-6080

Authorized Official

Name: DR. ANDREW JAMES WALLS, DDS
Title: PRESIDENT
Phone: (405) 485-6080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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