# FARGO MOORHEAD DENTAL & DENTURES P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619355484
- **Authorized official:** DR. DEVIN WALKER WALKER DDS (OWNER)
- **Authorized official phone:** (701) 281-8000

## Contact information

- **Practice address:** 4302 13TH AVE S, SUITE 10, FARGO, ND 58103-3395
- **Practice address phone:** (701) 281-8000
- **Mailing address:** 4302 13TH AVE S, SUITE 10, FARGO, ND 58103-3395
- **Mailing address phone:** (701) 281-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2015
- **Last updated:** 05/13/2015