DR. Daniel James Waller, DMD

NPI #1821593807 in Sussex, Wisconsin

Provider Information

NPI Number
1821593807
Entity Type
Individual
Name
DR. Daniel James Waller, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Mar 29, 2018
Last Updated
Jun 28, 2018

Practice Location

Address
N63W23401 MAIN ST
City
Sussex
ZIP Code
53089
Phone
(262) 246-6806

Specialties & Taxonomy Codes

Specialty
Dentist

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