Individual
DR. MILTON B WALLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
295 WASHINGTON AVE, HAMDEN, CT 06518-3025
(203) 288-8221
(203) 230-0849
Mailing address
295 WASHINGTON AVE, HAMDEN, CT 06518-3025
(203) 288-8221
(203) 230-0849
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
003777
CT
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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