Individual
KIMBERLY MICHELLE WALAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
117 E HOUSTON ST, CLEVELAND, TX 77327-4509
(281) 592-0597
Mailing address
12720 MARK CT, GRANGER, IN 46530-9294
(574) 329-2955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35341
TX
Other
Enumeration date
07/02/2019
Last updated
07/16/2019
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