Individual
CHRISTINE C WALLISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7372 MCKNIGHT RD STE B, PITTSBURGH, PA 15237-3558
(412) 364-6440
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037504
PA
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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