DANIEL JAMES WALLER

SUSSEX, WI
NPI1821593807
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WI  1001877-15)
Enumeration Date2018-03-29
Last Update Date2018-06-28
Business Address
Dr. DANIEL JAMES WALLER DMD
N63W23401 MAIN ST
SUSSEX, WI 53089
Phone number: 262-246-6806
Mailing Address
Dr. DANIEL JAMES WALLER DMD
435 WELLS ST APT 207
DELAFIELD, WI 53018-1465
Phone number: 414-460-7456
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