Organization
RONALD WALLACH DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD EDWARD WALLACH DMD (DENTIST)
(808) 876-1198
Entity
Organization
Contact information
Practice address
25 AHINAHINA PL, KULA, HI 96790-7702
(808) 876-1198
(808) 876-1499
Mailing address
25 AHINAHINA PL, KULA, HI 96790-7702
(808) 876-1198
(808) 876-1198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1887
HI
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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