Individual provider · Type 1 NPI

Gerald Maynard Wall, DDS

General Practice Dentistry · Las Vegas, NV

NPI number 1407921398 Active

About NPI 1407921398

Gerald Maynard Wall, DDS's National Provider Identifier is 1407921398, issued on Nov 24, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 8, 2007.