DR. Jacob Wallach, D.D.S.

NPI #1114183837 in Nyack, New York

Provider Information

NPI Number
1114183837
Entity Type
Individual
Name
DR. Jacob Wallach, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Aug 1, 2008
Last Updated
Aug 4, 2011

Practice Location

Address
99 N BROADWAY
City
Nyack
ZIP Code
10960-2627
Phone
(845) 358-1728

Specialties & Taxonomy Codes

Specialty
Dentist

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