Individual
DR. ALLON WALTUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
37 WOODMERE BLVD APT 4A, WOODMERE, NY 11598-2113
(516) 596-8854
Mailing address
125 N WOOD LN, WOODMERE, NY 11598-2123
(516) 596-8854
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0556201
NY
Other
Enumeration date
05/09/2010
Last updated
03/09/2015
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