Organization
MERIDIAN DENTAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK V WALKER DDS (MANAGING MEMBER)
(253) 852-3033
Entity
Organization
Contact information
Practice address
422 E SMITH ST, KENT, WA 98030-4546
(253) 852-3033
Mailing address
422 E SMITH ST, KENT, WA 98030-4546
(253) 852-3033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
WA
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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