| NPI | 1023238144 |
|---|---|
| Other Name | WALKER DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TODD WILLETT CFO 612-827-8382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2016-01-25 |