Mary Waller, DDS
NPI 1679772669 · on the registry since 2007
Practice
- Address
- 501 Freeman St.
Genoa City, WI 53128 - Phone
- (262) 279-6432
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-11
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 Wisconsin