Organization Name: | RYAN WALKER DDS PLLC |
NPI Number: | 1003211772 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RYAN WALKER (OWNER) |
Mailing Address: | 336 228th Ave Ne Ste 301 Sammamish |
State: | WA US |
Postal Code: | 980747289 |
Phone Number: | 2069995941 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2014 |
NPI Last Update Date: | 10/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DE 60140259 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |