Individual
DR. NEIL MARION WALLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
808 MAIN ST, KLAMATH FALLS, OR 97601-6012
(541) 884-8668
(541) 885-4854
Mailing address
808 MAIN ST, KLAMATH FALLS, OR 97601-6012
(541) 884-8668
(541) 885-4854
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D6751
OR
Other
Enumeration date
02/20/2006
Last updated
07/08/2007
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