Individual
DR. JOHN GREGORY WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
404 PEOPLE PL, SUITE 301, CHARLOTTESVILLE, VA 22911-3565
(434) 977-9836
(434) 977-1361
Mailing address
404 PEOPLE PL, SUITE 301, CHARLOTTESVILLE, VA 22911-3565
(434) 977-9836
(434) 977-1361
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
04320
VA
Other
Enumeration date
09/26/2006
Last updated
04/21/2011
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