DR. Brian Ernest Waldman, D.M.D

NPI #1457633851 in Alton, Illinois

Provider Information

NPI Number
1457633851
Entity Type
Individual
Name
DR. Brian Ernest Waldman, D.M.D
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.M.D
Enumeration Date
Sep 13, 2011
Last Updated
Sep 13, 2011

Practice Location

Address
1410 SEMINARY ST
City
Alton
ZIP Code
62002-4040
Phone
(217) 502-9780

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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