Individual
DR. NATHAN PAUL WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
328 MAIN ST W, RIPLEY, WV 25271-1427
(304) 372-5001
Mailing address
328 MAIN ST W, RIPLEY, WV 25271-1427
(304) 372-5001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3580
WV
Other
Enumeration date
04/24/2007
Last updated
12/02/2008
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