DAVID MATTHEW WALLITT

FORT SILL, OK
NPI1003332784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SC  8996)
Additional Taxonomies122300000X Dentist
(Licence: SC  8996)
Enumeration Date2017-08-15
Last Update Date2018-07-20
Business Address
Dr. DAVID MATTHEW WALLITT DMD
652 HAMILTON ROAD
FORT SILL, OK 73503
Phone number: 580-442-3905
Mailing Address
Dr. DAVID MATTHEW WALLITT DMD
652 HAMILTON ROAD
FORT SILL, OK 73503
Phone number: 580-442-3905