Individual
DR. KATRINA ANN WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
180 WESTBROOK RD, 6, ESSEX, CT 06426-1517
(860) 767-2262
Mailing address
180 WESTBROOK RD, 6, ESSEX, CT 06426-1517
(860) 767-2262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8405
CT
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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