GERALD WILLIAM WALLACH

DAVIE, FL
NPI1396854980
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  23405)
Enumeration Date2006-08-29
Last Update Date2007-07-08
Business Address
Dr. GERALD WILLIAM WALLACH D.D.S.
3200 S UNIVERSITY DR
DAVIE, FL 33328-2018
Phone number: 195-426-2183
Mailing Address
Dr. GERALD WILLIAM WALLACH D.D.S.
17202 RYTON LN
BOCA RATON, FL 33496-3218
Phone number: 156-198-8720
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