Individual
DR. ERIC BOLES WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6529 INGLEWOOD AVE, A-1, STOCKTON, CA 95207-3864
(209) 473-3788
(209) 473-2775
Mailing address
6529 INGLEWOOD AVE, A-1, STOCKTON, CA 95207-3864
(209) 473-3788
(209) 473-2775
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
26796
CA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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