Individual
DR. JOHN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
202 E WOODLAWN RD, STE 144B, CHARLOTTE, NC 28217-2213
(704) 522-1550
(704) 522-1558
Mailing address
202 E WOODLAWN RD, STE 114, CHARLOTTE, NC 28217-2213
(704) 522-1550
(704) 522-1558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4305
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8998849
—
NC
Enumeration date
07/18/2006
Last updated
07/10/2012
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