DR. Walter Fred Thal, D.D.S.

NPI #1689727109 in New Britain, Connecticut

Provider Information

NPI Number
1689727109
Entity Type
Individual
Name
DR. Walter Fred Thal, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Credential
D.D.S.
Enumeration Date
Jan 19, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1 LAKE ST
Address 2
BUILDING B
ZIP Code
06052-1396
Phone
(860) 224-2419

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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Provider Name
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