Individual
DR. JUSTIN TODD WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1230 GEORGE ST, WOODBURN, OR 97071-5203
(503) 981-3603
(503) 981-3604
Mailing address
1230 GEORGE ST, WOODBURN, OR 97071-5203
(503) 981-3603
(503) 981-3604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8760
OR
Other
Enumeration date
02/03/2007
Last updated
10/08/2021
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