Organization
WALTER K. LITTLE, JR. DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER KINNARD LITTLE JR. DDS (DENTIST)
(251) 438-5747
Entity
Organization
Contact information
Practice address
712 S WASHINGTON AVE, MOBILE, AL 36603-1302
(251) 438-5747
(251) 438-5737
Mailing address
712 S WASHINGTON AVE, MOBILE, AL 36603-1302
(251) 438-5747
(251) 438-5737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4581
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009968430
—
AL
Enumeration date
05/20/2010
Last updated
05/20/2010
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