Individual
CHERIE DANIELLE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
59 W 12TH ST, NEW YORK, NY 10011-8563
(212) 373-4651
Mailing address
151 HOYT ST # 1F, BROOKLYN, NY 11217-2226
(914) 424-9534
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02658500
NJ
1223G0001X
General Practice Dentistry
DGD.8900 GD
SC
1223P0221X
Pediatric Dentistry
Primary
0593891-1
NY
Other
Enumeration date
02/09/2017
Last updated
06/29/2021
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