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Individual

JOHN S WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
350 BROADWAY, SUITE 120, BOULDER, CO 80305-3300
(303) 494-3535
(303) 494-5095
Mailing address
350 BROADWAY, SUITE 120, BOULDER, CO 80305-3300
(303) 494-3535
(303) 494-5095

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
HDL05355
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105355
CO
Enumeration date
07/12/2006
Last updated
12/31/2013
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