Individual
KEVIN W WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1160 OLD PEACHTREE RD, STE B, DULUTH, GA 30097
(678) 473-7770
(678) 473-1066
Mailing address
1160 OLD PEACHTREE RD, STE B, DULUTH, GA 30097
(678) 473-7770
(678) 473-1066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009787
GA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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