MS. Carly Walz
NPI #1346943776 in Agawam, Massachusetts
Provider Information
- NPI Number
- 1346943776
- Entity Type
- Individual
- Name
- MS. Carly Walz
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 24, 2023
- Last Updated
- Aug 4, 2023
Practice Location
- Address
- 302 SUFFIELD ST
- City
- Agawam
- State
- Massachusetts
- ZIP Code
- 01001-1749
- Phone
- (413) 786-0085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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