Matthew Walls, Dds | |
12627 S Highway 51 Coweta OK 74429-6476 | |
(918) 486-0039 | |
(918) 486-0097 |
Full Name | Matthew Walls, Dds |
---|---|
Speciality | Clinic/center - Dental |
Location | 12627 S Highway 51, Coweta, Oklahoma |
Authorized Official Name and Position | Matthew Walls (PRESIDENT/DENTIST) |
Authorized Official Contact | 9184860039 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Matthew Walls, Dds 12627 S Highway 51 Coweta OK 74429-6476 Ph: (918) 486-0039 | Matthew Walls, Dds 12627 S Highway 51 Coweta OK 74429-6476 Ph: (918) 486-0039 |
NPI Number | 1679740898 |
---|---|
Provider Enumeration Date | 05/15/2008 |
Last Update Date | 03/30/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679740898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | OK5393 (Oklahoma) | Primary |
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