Benjamin William Walline DDS, MD

NPI 1073707212 - Otolaryngology - 207YX0007X

NPI Details
NPI 1073707212
Gender Male
Enumeration Date 08/30/2007
Last Updated 10/16/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
2080 CENTURY PARK E
#610
LOS ANGELES CA, 90067-2001, US
Phone (310) 842-4811
Fax (310) 286-2177
Business Location
2080 CENTURY PARK E
#610
LOS ANGELES CA, 90067-2001, US
Phone (310) 842-4811
Fax (310) 286-2177
Toxanomy
Taxonomy Code 207YX0007X
License State California
License Number A98343
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According to our database, Benjamin William Walline DDS, MD NPI is 1073707212, taxonomy code is 207YX0007X and license number is A98343, license state is located at California. Benjamin William Walline DDS, MD physically located at 2080 Century Park E, Los Angeles CA, 90067-2001. NPI Number Benjamin William Walline DDS, MD has the Individual type.

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1073707212 NPI number is provided on an as is basis without warranty of any kind. 1073707212 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin William Walline DDS, MD are for informational purposes only.