MICHAEL SHANE WALL

STATESBORO, GA
NPI1396842589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA  DN012729)
Enumeration Date2006-09-20
Last Update Date2009-12-14
Business Address
Dr. MICHAEL SHANE WALL D.M.D.
506 GENTILLY ROAD
STATESBORO, GA 30458
Phone number: 912-764-6737
Mailing Address
Dr. MICHAEL SHANE WALL D.M.D.
506 GENTILLY ROAD
STATESBORO, GA 30458
Phone number: 912-764-6737
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