Individual
EMILY KATHLEEN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1110 STATE ROUTE 55 STE 107, LAGRANGEVILLE, NY 12540-5048
(845) 486-4572
Mailing address
1110 STATE ROUTE 55 STE 107, LAGRANGEVILLE, NY 12540-5048
(845) 486-4572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.026095
OH
122300000X
Dentist
RES.004083
OH
1223G0001X
General Practice Dentistry
Primary
062435
NY
Other
Enumeration date
06/26/2019
Last updated
11/08/2022
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