JAKE PARKER WALLACH

CHESHIRE, CT
NPI1730982869
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CT  14707)
Enumeration Date2025-04-01
Last Update Date2026-06-23
Business Address
JAKE PARKER WALLACH
435 HIGHLAND AVE STE 210
CHESHIRE, CT 06410-2583
Phone number: 475-372-0134
Mailing Address
JAKE PARKER WALLACH
68 PEPPERIDGE DR
SOUTHINGTON, CT 06489-4416
Phone number: 860-919-4994
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