Individual
WALTER LAWRENCE BLUMENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1804 BROOK AVENUE, WICHITA FALLS, TX 76301
(940) 322-2252
(940) 322-7090
Mailing address
1804 BROOK AVENUE, WICHITA FALLS, TX 76301
(940) 322-2252
(940) 322-7090
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
P10798
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P10798
LICENSE NUMBER
TX
Enumeration date
06/20/2007
Last updated
07/08/2007
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