Individual
DR. MICHAEL VINCENT WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3552 W GLENDALE AVE, STE. B, PHOENIX, AZ 85051-8358
(602) 888-7844
Mailing address
8151 E INDIAN BEND RD, STE 111, SCOTTSDALE, AZ 85250-4826
(407) 680-9999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
57415
CA
122300000X
Dentist
Primary
8394
AZ
Other
Enumeration date
01/14/2009
Last updated
09/22/2016
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