| NPI | 1649989211 |
|---|---|
| Doing Business As | SHELDON WALTUCH, DMD, MS |
| Entity Type | Organization |
| Authorized Contact | SHELDON WALTUCH WALTUCH Orthodontist 732-549-6286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2022-11-22 |