Charles Walter DDS

NPI 1093883779 - Dentist - 1223S0112X

NPI Details
NPI 1093883779
Gender Male
Enumeration Date 12/01/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3400 SQUALICUM PKWY
SUITE 102
BELLINGHAM WA, 98225-1933, US
Phone (360) 676-8920
Fax (360) 676-5988
Business Location
3400 SQUALICUM PKWY
SUITE 102
BELLINGHAM WA, 98225-1933, US
Phone (360) 676-8920
Fax (360) 676-5988
Toxanomy
Taxonomy Code 1223S0112X
License State Washington
License Number 5632
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According to our database, Charles Walter DDS NPI is 1093883779, taxonomy code is 1223S0112X and license number is 5632, license state is located at Washington. Charles Walter DDS physically located at 3400 Squalicum Pkwy, Bellingham WA, 98225-1933. NPI Number Charles Walter DDS has the Individual type.

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1093883779 NPI number is provided on an as is basis without warranty of any kind. 1093883779 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Walter DDS are for informational purposes only.