ROBERT E WALL

MADISON, IN
NPI1972674372
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12007187)
Enumeration Date2006-11-10
Last Update Date2007-07-08
Business Address
-- ROBERT E WALL DDS
753 W MAIN ST
MADISON, IN 47250-3150
Phone number: 812-265-5962
Mailing Address
-- ROBERT E WALL DDS
753 W MAIN ST
MADISON, IN 47250-3150
Phone number: 812-265-5962