JORDAN WALLE
Dentist - Dental Public Health
Active
Individual
NPI: 1780330282
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Dentist - Dental Public Health | 1223D0001X | Yes | D11718 (OR) |
Frequently Asked Questions
NPI 1780330282 is the National Provider Identifier for JORDAN WALLE, a Dentist - Dental Public Health provider located in Klamath Falls, OR. This NPI was enumerated on February 23, 2022.
JORDAN WALLE practices at 2074 S 6TH ST, Klamath Falls, OR 97601.
Quick Facts
- NPI
- 1780330282
- Type
- Individual
- Enumerated
- Feb 23, 2022
- Last Updated
- Jul 30, 2024
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