# PHILIP C WALTER DDS PC

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

## Provider details

- **NPI number:** 1871703439
- **Authorized official:** DR. PHILIP CHARLES WALTER DDS (PRESIDENT)
- **Authorized official phone:** (303) 906-1366

## Contact information

- **Practice address:** 1550 S POTOMAC ST, SUITE 255, AURORA, CO 80012-5432
- **Practice address phone:** (303) 369-5437
- **Mailing address:** 11241 E CIMMARRON DR, ENGLEWOOD, CO 80111-4009
- **Mailing address phone:** (303) 906-1366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020