Individual
CHRISTOPHER WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29121 NEWPORT RD STE 101, MENIFEE, CA 92584-5121
(951) 228-9296
Mailing address
26191 NEWPORT AVE, LOMA LINDA, CA 92354-4152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104123
CA
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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