Individual
WILLIAM H. WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2289 RUDOLPHTOWN RD., SUITE 102, CLARKSVILLE, TN 37043-6326
(931) 647-2243
Mailing address
2289 RUDOLPHTOWN RD., SUITE A, CLARKSVILLE, TN 37043-6326
(931) 647-2243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS004228
TN
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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