Robert E Wall, DDS

NPI #1972674372 in Madison, Indiana

Provider Information

NPI Number: 1972674372
Entity Type: Individual
Name: Robert E Wall, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 753 W MAIN ST
City: Madison
State: Indiana
ZIP Code: 47250-3150
Phone: (812) 265-5962

Specialties & Taxonomy Codes

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

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