Organization
WALLS FAMILY DENTISTRY, INC
Active
Other names
Matthew Walls, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW WALLS DDS (PRESIDENT/DENTIST)
(918) 486-0039
Entity
Organization
Contact information
Practice address
12627 S HIGHWAY 51, COWETA, OK 74429-6476
(918) 486-0039
(918) 486-0097
Mailing address
12627 S HIGHWAY 51, COWETA, OK 74429-6476
(918) 486-0039
(918) 486-0097
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
OK5393
OK
Other
Enumeration date
05/15/2008
Last updated
03/30/2009
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