Patricia Waltz, DMD
NPI 1265162325 · on the registry since 2022 · sole proprietor
Practice
- Address
- 845 S Perryville Rd Unit 127
Rockford, IL 61108 - Phone
- (779) 423-2135
- Fax
- (779) 210-2780
- Organisation at this address
- Perryville Dentist Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois