Organization Name: | WALKER ORTHODONTICS PC |
NPI Number: | 1215188370 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN H. WALKER (PRESIDENT/OWNER) |
Mailing Address: | 119 Massachusetts Ave Lunenburg |
State: | MA US |
Postal Code: | 014621214 |
Phone Number: | 9783457988 |
Fax Number: | 9783451191 |
NPI Enumeration Date: | 10/08/2008 |
NPI Last Update Date: | 10/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |