Individual
DR. MATTHEW H WALLENGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PA
Contact information
Practice address
1421 CLARKVIEW RD STE 120, BALTIMORE, MD 21209-2187
(410) 431-1868
Mailing address
1421 CLARKVIEW RD STE 120, BALTIMORE, MD 21209-2187
(410) 431-1868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12462
MD
Other
Enumeration date
11/03/2006
Last updated
08/04/2025
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