Individual
DR. MEGHAN MAUREEN SULLIVAN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2803
Mailing address
128 RIVER DR, TITUSVILLE, NJ 08560-1731
(267) 475-7351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8487
NC
1223P0221X
Pediatric Dentistry
Primary
DS040751
PA
Other
Enumeration date
08/31/2007
Last updated
12/20/2021
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