Wallach Dental, PLLC
Dentist, General Practice in Del Valle, TX. Organization (NPI-2).
NPI number1710453063
StatusActive
Last updated in NPPESJan 8, 2024
Details
- NPI
- 1710453063
- Entity type
- Organization (NPI-2)
- Legal business name
- Wallach Dental, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 15, 2018
- Certification date
- Jan 8, 2024
- Last updated
- Jan 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Practice location
4529 East Tx-71Del Valle, TX 78617
Phone 903-216-9687
Mailing address
4529 East Tx-71Del Valle, TX 78617
Authorized official
David Brian Wallach
Dentist
9032169687
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