Organization
US NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE LEIGH WALRATH DMD (DENTIST)
(626) 321-2334
Entity
Organization
Contact information
Practice address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-5994
(843) 228-5728
Mailing address
7034 W AIRE LIBRE AVE, PEORIA, AZ 85382-3963
(626) 321-2334
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
DGD,8626.GD
SC
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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