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1225169154
NICHOLAS PATRICK WALL
ANTHEM, AZ
NPI
1225169154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN D12321)
Enumeration Date
2007-03-09
Last Update Date
2008-08-19
Business Address
Dr. NICHOLAS PATRICK WALL DDS
3655 W ANTHEM WAY SUITE A-117
ANTHEM, AZ 85086
Phone number: 623-551-5555
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Mailing Address
Dr. NICHOLAS PATRICK WALL DDS
3655 W ANTHEM WAY SUITE A-117
ANTHEM, AZ 85086
Phone number: 623-551-5555
Copy
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