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