Provider Demographics
NPI:1346256765
Name:WALENJUS, DANIEL ALLAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ALLAN
Last Name:WALENJUS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-3628
Mailing Address - Country:US
Mailing Address - Phone:732-528-0600
Mailing Address - Fax:732-223-5566
Practice Address - Street 1:147 UNION AVE
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-3628
Practice Address - Country:US
Practice Address - Phone:732-528-0600
Practice Address - Fax:732-223-5566
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI212251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice