Individual
MOLLY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
180 W END AVE APT 1E, NEW YORK, NY 10023-4917
(212) 362-5517
Mailing address
214 LEFFERTS PL APT 3F, BROOKLYN, NY 11238-2909
(828) 777-5334
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
028108
NY
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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