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IAN WALL
General Practice Dentistry
NPI: 1659950061Individual
Specialties, Licenses & Credentials
General Practice DentistryPrimary
Dentist — General Practice
Code: 1223G0001X
DN10000220(MA)0401417767(VA)064923(NY)
Student in an Organized Health Care Education/Training Program
Code: 390200000X
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Contact & Hours
- Address
- 216 SEA CLIFF AVE
SEA CLIFF, NY 11579 - Phone
- (363) 777-9690
Quick Facts
- NPI
- 1659950061
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 4
- Locations
- 1
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