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Mary Hagan Walker, DDS Valid NPI

Individual provider · Dentist · Bridgeport, CT

NPI
1891083960
Type
Individual (Type 1)
Primary specialty
Dentist
Specialty group
Dental Providers
Taxonomy code
122300000X
License number
010571 (CT)
Sex
Female
Sole proprietor
No
Enumerated
2011-07-11
Last updated
2011-08-10
Practice location
2260 North Ave
Bridgeport, CT 06604-2413
(316) 258-4484

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