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Daniel J. Waller, DMD

General Dentistry · Sussex, WI

UnclaimedDMDNPI 1821593807
Primary taxonomy
122300000X
Enumerated
2018-03-29
Practice location
Sussex, WI
Last NPPES update
2018-06-28

State licenses

  • WI · Dentist · NPPES self-reportedListed on NPI record

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.