Tonie Waller, DDS

NPI #1720284458 in Ada, Oklahoma

Provider Information

NPI Number: 1720284458
Entity Type: Individual
Name: Tonie Waller, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 21, 2007
Last Updated: May 18, 2015

Practice Location

Address: 1921 STONECIPHER BOULEVARD
City: Ada
State: Oklahoma
ZIP Code: 74820-3439
Phone: (580) 436-3980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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