Dr. Theresa Walls, D.M.D
Dentist, General Practice in Suffern, NY. Individual provider (NPI-1).
NPI number1033258751
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1033258751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Theresa Walls
- Credential
- D.M.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 39656 | NY | Yes |
Practice location
73 Washington AveSuffern, NY 10901-6011
Phone 845-357-0223
Mailing address
73 Washington AveSuffern, NY 10901-6011
Phone 845-357-0223
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