Organization
JOHN WALSH DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WALSH (OWNER)
(704) 537-1990
Entity
Organization
Contact information
Practice address
4632 HOLBROOK DR, CHARLOTTE, NC 28212-5312
(704) 537-1990
Mailing address
4632 HOLBROOK DR, CHARLOTTE, NC 28212-5312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4305
NC
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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