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Individual

DR. STUART WALLET

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
925 E MAIN ST, MARLTON, NJ 08053-2309
(856) 983-4349
(856) 985-6366
Mailing address
925 E MAIN ST, MARLTON, NJ 08053-2309
(856) 983-4349
(856) 985-6366

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI01066000
NJ

Other

Enumeration date
06/14/2005
Last updated
07/08/2007
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