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Dr. Eric Boles Wall, DDS
Oral and Maxillofacial Surgery (Dentist) in Stockton, California
NPI 1366479230

Eric Boles Wall is a Oral and Maxillofacial Surgery (Dentist) based in Stockton, CA and is specialized in Oral and Maxillofacial Surgery. Eric Boles Wall practices in Stockton, CA and has the professional credentials of DDS. The NPI Number for Eric Boles Wall is 1366479230 and holds a License No. 26796 (California).

The current practice location address for Eric Boles Wall is 6529 Inglewood Ave, Stockton, CA and can be reached out via phone at 209-473-3788 and via fax at 209-473-2775.

Location: 6529 Inglewood Ave, Stockton, CA, 95207-3864
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366479230
Provider Name
Eric Boles Wall
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6529 Inglewood Ave, Stockton, CA, 95207-3864
Phone Number
209-473-3788
Fax Number
209-473-2775
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6529 Inglewood Ave
City
Stockton
State
California
Zip
95207-3864
Phone Number
209-473-3788
Fax Number
209-473-2775
person
Provider Business Mailing Address Details
Address
6529 Inglewood Ave
City
Stockton
State
California
Zip
95207-3864
Phone Number
209-473-3788
Fax Number
209-473-2775
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
26796 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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