Individual
DR. DOUGLAS R WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5479 E ABBEYFIELD ST, #4, LONG BEACH, CA 90815-3050
(562) 597-1414
(562) 498-6174
Mailing address
5479 E ABBEYFIELD ST, # 4, LONG BEACH, CA 90815-3050
(562) 597-1414
(562) 498-6174
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31417
CA
Other
Enumeration date
08/08/2006
Last updated
06/30/2008
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