Organization
CATHLEEN E. WALLENT, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHLEEN E. WALLENT DMD, PC (DENTIST)
(978) 682-2276
Entity
Organization
Contact information
Practice address
100 AMESBURY ST, SUITE 202, LAWRENCE, MA 01840-1321
(978) 682-2276
(603) 893-5461
Mailing address
100 AMESBURY ST, SUITE 202, LAWRENCE, MA 01840-1321
(978) 682-2276
(603) 893-5461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17997
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30302399
—
MA
Enumeration date
08/18/2010
Last updated
09/14/2010
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