Search › Wisconsin › 122300000X
Daniel Waller, DMD
NPI 1821593807 · on the registry since 2018 · sole proprietor
Practice
- Address
- N63w23401 Main St
Sussex, WI 53089 - Phone
- (262) 246-6806
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-28
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