Matthew D Wall DDS Msd Pllc
NPI #1962888636 in Lacey, Washington
Provider Information
- NPI Number
- 1962888636
- Entity Type
- Organization
- Organization Name
- Matthew D Wall DDS Msd Pllc
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Aug 5, 2015
- Last Updated
- Aug 5, 2015
Practice Location
- Address
- 5320 CORPORATE CENTER LOOP SE STE A
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-5557
- Phone
- (360) 491-7080
Authorized Official
- Name
- MATTHEW D WALL, DDS MSD
- Title
- OWNER
- Phone
- (360) 491-7080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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