Individual
ALLAN TODD WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1133 MEDICAL CENTER DR, WILMINGTON, NC 28401-7304
(910) 763-0931
(910) 763-6405
Mailing address
1133 MEDICAL CENTER DR, WILMINGTON, NC 28401-7304
(910) 763-0931
(910) 763-6405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3703
WV
1223G0001X
General Practice Dentistry
Primary
9179
NC
Other
Enumeration date
01/08/2007
Last updated
12/01/2011
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