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1104041763
DONALD GAVIN WALLEY
GERMANTOWN, TN
NPI
1104041763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN DS4675)
Enumeration Date
2007-04-16
Last Update Date
2010-09-30
Business Address
Dr. DONALD GAVIN WALLEY D.D.S
7730 WOLF RIVER BLVD SUITE 104
GERMANTOWN, TN 38138-1708
Phone number: 901-755-6440
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Mailing Address
Dr. DONALD GAVIN WALLEY D.D.S
7730 WOLF RIVER BLVD SUITE 104
GERMANTOWN, TN 38138-1708
Phone number: 901-755-6440
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