Organization
RICHARD WALLS, DMD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D WALLS DMD (OWNER)
(770) 973-1738
Entity
Organization
Contact information
Practice address
2155 POST OAK TRITT RD, SUITE 500, MARIETTA, GA 30062-8620
(770) 973-1738
Mailing address
2155 POST OAK TRITT RD, SUITE 500, MARIETTA, GA 30062-8620
(770) 973-1738
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN010062
GA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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