WALTER GOINGCO DIMALANTA

FORT GORDON, GA
NPI1417933896
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: WA  DE00009954)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: WA  DE00009954)
Enumeration Date2005-12-19
Last Update Date2019-01-29
Business Address
Dr. WALTER GOINGCO DIMALANTA D.D.S
228 E HOSPITAL RD BLDG 320
FORT GORDON, GA 30905
Phone number: 706-787-5102
Mailing Address
Dr. WALTER GOINGCO DIMALANTA D.D.S
228 E HOSPITAL RD BLDG 320
FORT GORDON, GA 30905-6011
Phone number: 706-787-5530