Richard Walls, Dmd,pc | |
2155 Post Oak Tritt Rd Suite 500 Marietta GA 30062-8620 | |
(770) 973-1738 | |
Not Available |
Full Name | Richard Walls, Dmd,pc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2155 Post Oak Tritt Rd, Marietta, Georgia |
Authorized Official Name and Position | Richard D Walls (OWNER) |
Authorized Official Contact | 7709731738 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Richard Walls, Dmd,pc 2155 Post Oak Tritt Rd Suite 500 Marietta GA 30062-8620 Ph: (770) 973-1738 | Richard Walls, Dmd,pc 2155 Post Oak Tritt Rd Suite 500 Marietta GA 30062-8620 Ph: (770) 973-1738 |
NPI Number | 1982979753 |
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Provider Enumeration Date | 03/13/2012 |
Last Update Date | 03/13/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982979753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN010062 (Georgia) | Primary |
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