Wall, Gary A

Wall, Gary A is an individual health care provider with primary practice located at 10627 19Th Ave Se , Everett WA 98208-5147. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wall, Gary A can be contacted via phone (425) 337-6553.

Contact Information

Primary practice address
10627 19Th Ave Se Everett WA 98208-5147
Phone: (425) 337-6553
Fax: (425) 385-8943
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 08241 Washington

Profile Details

NPI number 1821074527
LBN Legal business name Wall, Gary A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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