| NPI | 1750471140 |
|---|---|
| Doing Business As | WALERGA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BENNETT Owner Dds 916-725-4530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-05-11 |