Organization
MELVIN W. WALTERS, DDS - A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN WESLEY WALTERS DDS (OWNER/ORTHODONTIST)
(916) 575-9990
Entity
Organization
Contact information
Practice address
4450 DUCKHORN DR STE B, SACRAMENTO, CA 95834-2589
(916) 575-9990
Mailing address
4450 DUCKHORN DR STE B, SACRAMENTO, CA 95834-2589
(916) 575-9990
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
17796
CA
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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