Organization
SHAWN A. WALLS, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN A WALLS D.D.S. (OWNER/CEO)
(404) 444-8485
Entity
Organization
Contact information
Practice address
10700 MEDLOCK BRIDGE RD, SUITE 202, JOHNS CREEK, GA 30097-8456
(404) 444-8485
(770) 814-7407
Mailing address
10700 MEDLOCK BRIDGE RD, SUITE 202, JOHNS CREEK, GA 30097-8456
(404) 444-8485
(770) 814-7407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010715
GA
1223G0001X
General Practice Dentistry
9711
GA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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