Individual
DR. DANIEL ERWIN WALTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
979 DAVIS ST., HAMMOND, WI 54015
(715) 796-2261
Mailing address
PO BOX 488, HAMMOND, WI 54015-0488
(715) 796-2261
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2451
WI
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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