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1063528586
TANYA C WALL
JACKSONVILLE, FL
NPI
1063528586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: FL DN15601)
Enumeration Date
2006-08-21
Last Update Date
2019-01-08
Business Address
Dr. TANYA C WALL DDS
2255 DUNN AVE BLDG. 700
JACKSONVILLE, FL 32218
Phone number: 904-751-5126
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Mailing Address
Dr. TANYA C WALL DDS
PO BOX 26948
JACKSONVILLE, FL 32226
Phone number: 904-751-5126
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