DR. Mary M. Waller, DDS
NPI #1679772669 in Genoa City, Wisconsin
Provider Information
- NPI Number
- 1679772669
- Entity Type
- Individual
- Name
- DR. Mary M. Waller, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jul 11, 2007
- Last Updated
- Jul 11, 2007
Practice Location
- Address
- 501 FREEMAN ST.
- City
- Genoa City
- State
- Wisconsin
- ZIP Code
- 53128-0159
- Phone
- (262) 279-6432
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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