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Organization
ANDREW J. WALLS DDS, PC
Active
Organization
ANDREW J. WALLS DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JAMES WALLS DDS (PRESIDENT)
(405) 485-6080
Entity
Organization
Contact information
Practice address
1019 N COUNCIL AVE, SUITE #2, BLANCHARD, OK 73010-8003
(405) 485-6080
(405) 485-6089
Mailing address
PO BOX 880, BLANCHARD, OK 73010-0880
(405) 485-6080
(405) 485-6089
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5630
OK
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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