Individual
FONTAINE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
955 31ST ST, SUITE E, MARION, IA 52302
(319) 373-0192
(319) 373-0192
Mailing address
7411 FOX COURT NORTHEAST, CEDAR RAPIDS, IA 52402
(319) 294-9148
(319) 294-9148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7903
IA
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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