Individual
DR. ANTHONY DAVID EMMANUEL WALLITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2702 W HILLSBOROUGH AVE, TAMPA, FL 33614-6053
(813) 365-3021
Mailing address
2702 W HILLSBOROUGH AVE, TAMPA, FL 33614-6053
(813) 365-3021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27181
FL
Other
Enumeration date
07/06/2022
Last updated
06/26/2023
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