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Individual

DR. CARTER MILAN WALLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1417 PARCELL ST, FREDERICKSBURG, VA 22401-4616
(540) 899-1777
(540) 899-2266
Mailing address
1417 PARCELL ST, FREDERICKSBURG, VA 22401-4616
(540) 899-1777
(540) 899-2266

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410947
VA
1223G0001X
General Practice Dentistry
15251
FL

Other

Enumeration date
03/27/2009
Last updated
03/27/2009
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