NPIRadar

Todd W Walker, D.M.D., M.S. Valid NPI

Individual provider · Periodontics · Prescott, AZ

NPI
1134449481
Type
Individual (Type 1)
Primary specialty
Periodontics (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223P0300X
License number
D008701 (AZ)
Sex
Male
Sole proprietor
No
Enumerated
2010-06-09
Last updated
2020-07-13
Practice location
3124 Stillwater Dr
Prescott, AZ 86305-7151
(928) 460-1592

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