| NPI | 1699559732 |
|---|---|
| Doing Business As | WALNUT FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TAYLOR RICE Credentialing Specialist 831-706-6773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |