Stuart Wallet DDS

NPI 1043215312 - Dentist - 1223G0001X

NPI Details
NPI 1043215312
Gender Male
Enumeration Date 06/14/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
925 E MAIN ST
MARLTON NJ, 08053-2309, US
Phone (856) 983-4349
Fax (856) 985-6366
Business Location
925 E MAIN ST
MARLTON NJ, 08053-2309, US
Phone (856) 983-4349
Fax (856) 985-6366
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number DI01066000
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According to our database, Dr. Stuart Wallet DDS NPI is 1043215312, taxonomy code is 1223G0001X and license number is DI01066000, license state is located at New Jersey. Stuart Wallet DDS physically located at 925 E Main St, Marlton NJ, 08053-2309. NPI Number Stuart Wallet DDS has the Individual type.

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1043215312 NPI number is provided on an as is basis without warranty of any kind. 1043215312 is maintained by the National Plan & Provider Enumeration System. The contents of Stuart Wallet DDS are for informational purposes only.