NPI | 1861765943 |
---|---|
Doing Business As | GEORGE J WALTERS DDS PA |
Entity Type | Organization |
Authorized Contact | GEORGE J WALTERS President 850-763-8585 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: FL DN0012432) |
Enumeration Date | 2012-02-20 |
Last Update Date | 2012-02-23 |