Individual
DAVID C. WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
319 W TEMPERANCE ST, ELLETTSVILLE, IN 47429-1534
(812) 876-4624
(812) 876-8319
Mailing address
PO BOX 338, ELLETTSVILLE, IN 47429-0338
(812) 876-4624
(812) 876-8319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1200D8243
IN
Other
Enumeration date
11/20/2006
Last updated
07/09/2007
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