NPI 1053889667

Aliyah Wall

Practitioner Dental Assistant Fort Stewart, GA

Practice location

Address: 351 W 6th Street Bldg 440, Fort Stewart, GA 31314
Phone: (912) 435-5826

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

Other Dental Assistant providers in Georgia →

Registry record

NPI: 1053889667
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2018
Record last updated: 13 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.