DR. Patricia M Waltz, DMD

NPI #1265162325 in Rockford, Illinois

Provider Information

NPI Number: 1265162325
Entity Type: Individual
Name: DR. Patricia M Waltz, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 13, 2022
Last Updated: Jun 13, 2022

Practice Location

Address: 845 S PERRYVILLE RD UNIT 127
City: Rockford
State: Illinois
ZIP Code: 61108-4340
Phone: (779) 423-2135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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