Dr. JEFFREY SAMUEL WALLIS -- D.M.D.
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1528371507- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.M.D.
- Status
- Active
Contact & Location
- Address
- 17 W ORMOND AVE, CHERRY HILL, NJ, 080023041
- Phone
- (856) 428-4445
- Fax
- (856) 428-4497
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: PA #DS038160
Dentist, Oral and Maxillofacial Surgery
Primary License: NJ #22DI02571300
Dentist, Oral and Maxillofacial Surgery
License: NJ #22DI02571301