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Organization
WALLS FAMILY DENTISTRY, INC
Active
Organization
WALLS FAMILY DENTISTRY, INC
Active
Other names
Matthew Walls, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW WALLS DDS (PRESIDENT/DENTIST)
(918) 486-0039
Entity
Organization
Contact information
Practice address
12627 S HIGHWAY 51, COWETA, OK 74429-6476
(918) 486-0039
(918) 486-0097
Mailing address
12627 S HIGHWAY 51, COWETA, OK 74429-6476
(918) 486-0039
(918) 486-0097
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
OK5393
OK
Other
Enumeration date
05/15/2008
Last updated
03/30/2009
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