Individual
DR. MARTIN LUTHER WALTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15-33 HALSTED STREET, SUITE 200, EAST ORANGE, NJ 07018
(973) 674-4919
(973) 674-7351
Mailing address
15-33 HALSTED STREET, SUITE 200, EAST ORANGE, NJ 07018
(973) 674-4919
(973) 674-7351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D101192300
NJ
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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