Individual
DR. DAVID E WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1300 23RD STREET SOUTH, FARGO, ND 58103
(701) 241-6020
Mailing address
1300 23RD STREET SOUTH, FARGO, ND 58103
(701) 241-6020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401413227
VA
1223G0001X
General Practice Dentistry
Primary
9672
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2370
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401413227
THE COMMONWEALTH OF VIRGINIA
VA
01
—
9672
NORTH CAROLINA STATE LICENSE
NC
Enumeration date
10/04/2011
Last updated
09/15/2023
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