DR. Kevin S Wall, D.M.D

NPI #1760515035 in Bellevue, Kentucky

Provider Information

NPI Number
1760515035
Entity Type
Individual
Name
DR. Kevin S Wall, D.M.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D
Enumeration Date
Mar 14, 2007
Last Updated
Jan 21, 2014

Practice Location

Address
340 FAIRFIELD AVE
ZIP Code
41073-1175
Phone
(859) 291-7621

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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