Individual
MR. GARY WARREN WALSH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
5 LAKE CAROLINA BLVD, SUITE 210, COLUMBIA, SC 29229-7561
(803) 736-8606
(803) 736-8696
Mailing address
5 LAKE CAROLINA BLVD, SUITE 210, COLUMBIA, SC 29229-7561
(803) 736-8606
(803) 736-8696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3739
SC
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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