DR. MARY WALLER, DDS

Dentist

Active Individual
NPI: 1679772669

Practice Address

501 FREEMAN ST.
Genoa City, WI 53128

Phone: (262) 279-6432

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 2865 (WI)

Frequently Asked Questions

NPI 1679772669 is the National Provider Identifier for DR. MARY WALLER, DDS, a Dentist provider located in Genoa City, WI. This NPI was enumerated on July 11, 2007.
DR. MARY WALLER, DDS practices at 501 FREEMAN ST., Genoa City, WI 53128.

Quick Facts

NPI
1679772669
Type
Individual
Enumerated
Jul 11, 2007
Last Updated
Jul 11, 2007

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