Organization
CARNES CROSSROADS DENTAL P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS DONALD WALKER D.D.S. (PRESIDENT/CEO)
(330) 323-1986
Entity
Organization
Contact information
Practice address
3751 S LIVE OAK DR, SUITE G, MONCKS CORNER, SC 29461-7903
(843) 761-7380
(843) 761-7385
Mailing address
3751 S LIVE OAK DR, SUITE G, MONCKS CORNER, SC 29461-7903
(843) 761-7380
(843) 761-7385
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8129
SC
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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