Individual
DAVID WALD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 VANGUARD RD. BLDG 8335, FORT STEWAR, GA 31314
(912) 435-5705
Mailing address
411 E 9TH ST # 7, FORT STEWART, GA 31314-5036
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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