Individual
DANIEL GERARD WALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 JEFFERSON ST, SUITE 220, WASHINGTON, MO 63090-4454
(636) 390-0005
(636) 390-0001
Mailing address
1201 JEFFERSON ST, SUITE 220, WASHINGTON, MO 63090-4454
(636) 390-0005
(636) 390-0001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014944
MO
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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