Organization
WALTER P VICKERS JR. DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALT P VICKERS JR. DMD (OWNER)
(251) 342-0380
Entity
Organization
Contact information
Practice address
1200 MONTLIMAR DR, MOBILE, AL 36609-1711
(251) 342-0380
(251) 344-0360
Mailing address
1200 MONTLIMAR DR, MOBILE, AL 36609-1711
(251) 342-0380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/18/2024
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