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Edward Wall, DMD
NPI 1154569424 · on the registry since 2009 · sole proprietor
Practice
- Address
- 549 S Main St
Cleveland, GA 30528 - Phone
- (706) 865-2248
- Fax
- (706) 219-2051
- Organisation at this address
- Associates Of Family Dentistry
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-01-26
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 Georgia