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Organization

GEORGE J WALTERS DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE J WALTERS D.D.S. (PRESIDENT)
(850) 763-8585
Entity
Organization

Contact information

Practice address
2202 STATE AVE, SUITE 200, PANAMA CITY, FL 32405-7601
(850) 763-8585
(850) 763-3920
Mailing address
2202 STATE AVE, SUITE 200, PANAMA CITY, FL 32405-7601
(850) 763-8585
(850) 763-3920

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DN0012432
FL

Other

Enumeration date
06/04/2007
Last updated
08/22/2020
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