Individual
JEFFREY D WALMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,R.PH.
Contact information
Practice address
20168 W 153RD ST, OLATHE, KS 66062-9131
(913) 829-7668
(913) 764-0314
Mailing address
20168 W 153RD ST, OLATHE, KS 66062-9131
(913) 829-7668
(913) 764-0314
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6186
KS
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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