Stuart Wallet, DDS Valid NPI
Individual provider · General Practice Dentistry · Marlton, NJ
- NPI
- 1043215312
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- DI01066000 (NJ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-06-14
- Last updated
- 2007-07-08
Practice location
925 E Main St
Marlton, NJ 08053-2309
(856) 983-4349