Wall, Eric Boles
Wall, Eric Boles is an individual health care provider with primary practice located at 6529 Inglewood Ave A-1, Stockton CA 95207-3864. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wall, Eric Boles can be contacted via phone (209) 473-3788.Contact Information
Primary practice address
6529 Inglewood Ave A-1
Stockton CA 95207-3864
Phone: (209) 473-3788
Fax: (209) 473-2775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 26796 | California |
Profile Details
| NPI number | 1366479230 |
|---|---|
| LBN Legal business name | Wall, Eric Boles |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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