Individual
DR. HOLLIS PAUL WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
601 DIXIE ST, CARROLLTON, GA 30117-3816
(770) 832-6123
(770) 834-0020
Mailing address
601 DIXIE ST, CARROLLTON, GA 30117-3816
(770) 832-6123
(770) 834-0020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009666
GA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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