Individual
DR. CHANDLER L. WALPOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3327 W CAPITAL AVE, GRAND ISLAND, NE 68803-1334
(308) 382-4297
Mailing address
3327 W CAPITAL AVE, GRAND ISLAND, NE 68803-1334
(308) 382-4297
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
7576
NE
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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