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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MATTHEW D WALL, DDS, MSD

Active

DR. MATTHEW D WALL, DDS, MSD is a Orthodontics healthcare provider located in LACEY, Washington. NPI 1114253846 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · LACEY, WA

Registration Details

NPI Number
1114253846
Provider Type
Individual
Gender
Male
NPI Issued
Oct 31, 2009 (16.75156811209 yrs)
Last Updated
Nov 2, 2009
License
DE60048046 (WA)

Practice Information

Address
5320 CORPORATE CENTER LOOP SE
LACEY, WA, 985035557
Browse WA providers · Browse ZIP 98503
Phone
3604917080
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Providers in LACEY, WA

Name Credential NPI
DR. CHRISTOPHER SCOTT RIOLO DDS MS PHD 1467522391
KEVIN CARROLL MOSS DMD MS PLLC 1043332844
DR. JUNE Q LEI D.M.D. 1619359080
YE LIN 1972353514
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.