| NPI | 1679740898 |
|---|---|
| Other Name | MATTHEW WALLS, DDS |
| Entity Type | Organization |
| Authorized Contact | MATTHEW WALLS President/Dentist 918-486-0039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK OK5393) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2009-03-30 |