Individual
AUSTIN A. WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2233 MARTIN, 218, IRVINE, CA 92612-1455
(949) 502-7850
(949) 387-6095
Mailing address
2233 MARTIN, 218, IRVINE, CA 92612-1455
(949) 502-7850
(949) 387-6095
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26795
CA
Other
Enumeration date
07/06/2006
Last updated
04/23/2012
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