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Matthew Wall, DMD
NPI 1083247209 · on the registry since 2020 · sole proprietor
Practice
- Address
- 174 Crepe Myrtle Dr
Aiken, SC 29803 - Phone
- (803) 641-3883
- Organisation at this address
- Kevin G. Eubanks, D.M.D
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- General Practice Dentistry
- Licence states on file
- GA, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina