JEFFREY MARK WALTERS

AMITYVILLE, NY
NPI1942298062
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  028643)
Enumeration Date2005-10-12
Last Update Date2007-07-08
Business Address
Dr. JEFFREY MARK WALTERS dmd
116 BROADWAY
AMITYVILLE, NY 11701-2797
Phone number: 631-264-2610
Mailing Address
Dr. JEFFREY MARK WALTERS dmd
881 GARDINER DR
BAY SHORE, NY 11706-7602
Phone number: 631-666-6367