Tanya C Wall DDS

NPI 1063528586 - Dentist - 1223P0221X

NPI Details
NPI 1063528586
Gender Female
Enumeration Date 08/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2262 DUNN AVE STE 4
JACKSONVILLE FL, 32218-4720, US
Phone (904) 751-5126
Fax (904) 751-5146
Business Location
PO BOX 26701
JACKSONVILLE FL, 32226-6701, US
Phone (904) 751-5126
Fax (904) 751-5146
Toxanomy
Taxonomy Code 1223P0221X
License State Florida
License Number DN15601
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According to our database, Dr. Tanya C Wall DDS NPI is 1063528586, taxonomy code is 1223P0221X and license number is DN15601, license state is located at Florida. Tanya C Wall DDS physically located at 2262 Dunn Ave Ste 4, Jacksonville FL, 32218-4720. NPI Number Tanya C Wall DDS has the Individual type.

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1063528586 NPI number is provided on an as is basis without warranty of any kind. 1063528586 is maintained by the National Plan & Provider Enumeration System. The contents of Tanya C Wall DDS are for informational purposes only.