Carl Paul Waltke D.M.D.

NPI 1871671016 - Dentist - 1223S0112X

NPI Details
NPI 1871671016
Gender Male
Enumeration Date 11/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
180 OLD TAPPAN RD
OLD TAPPAN NJ, 07675-7052, US
Phone (201) 767-4001
Fax (201) 767-4632
Business Location
180 OLD TAPPAN RD
OLD TAPPAN NJ, 07675-7052, US
Phone (201) 767-4001
Fax (201) 767-4632
Toxanomy
Taxonomy Code 1223S0112X
License State New Jersey
License Number 16438
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According to our database, Dr. Carl Paul Waltke D.M.D. NPI is 1871671016, taxonomy code is 1223S0112X and license number is 16438, license state is located at New Jersey. Carl Paul Waltke D.M.D. physically located at 180 Old Tappan Rd, Old Tappan NJ, 07675-7052. NPI Number Carl Paul Waltke D.M.D. has the Individual type.

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1871671016 NPI number is provided on an as is basis without warranty of any kind. 1871671016 is maintained by the National Plan & Provider Enumeration System. The contents of Carl Paul Waltke D.M.D. are for informational purposes only.