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Individual

WALTER JOHN KAMINSKI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
100 CHRISTIANA VILLAGE PROFESSIONAL CENTER, NEWARK, DE 19702
(302) 738-3666
(302) 738-8773
Mailing address
102 DEWBERRY DR, HOCKESSIN, DE 19707-2117
(302) 239-7418

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
862
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DE0234
STATE NARCOTIC IDENTIFIER
DE
Enumeration date
05/08/2007
Last updated
03/07/2023
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