Individual
DR. JAMIE WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1590 W STREET RD, WARMINSTER, PA 18974-3130
(215) 957-0700
Mailing address
1590 W STREET RD, WARMINSTER, PA 18974-3130
(215) 957-0700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042414
PA
Other
Enumeration date
08/12/2019
Last updated
09/14/2021
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