Individual
JUSTIN PETER WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4235 E CHARLESTON BLVD, LAS VEGAS, NV 89104-6695
(702) 505-9180
Mailing address
2039 SHADOW BROOK WAY, HENDERSON, NV 89074-4184
(702) 370-6698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8165
NV
Other
Enumeration date
04/16/2025
Last updated
05/05/2025
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