Individual
DR. MICHAEL WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1130 TOURNAMENT DR, HILLSBOROUGH, CA 94010-7432
(650) 245-8518
Mailing address
1130 TOURNAMENT DR, HILLSBOROUGH, CA 94010-7432
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
61276
CA
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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