Individual
NITIN WALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7866 MINERAL POINT RD, MADISON, WI 53717-2028
(608) 422-4746
Mailing address
1713 77TH ST, NAPERVILLE, IL 60565-6719
(630) 854-1898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032843
IL
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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