| NPI | 1700071602 |
|---|---|
| Other Name | JAMES M WALLETT DDS |
| Entity Type | Organization |
| Authorized Contact | JAMES M WALLETT Owner 718-748-6847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 03663901) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |