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Individual

JAMES M WALTER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
3020 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4012
(336) 768-9881
(336) 768-6066
Mailing address
3020 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4012
(336) 768-9881
(336) 768-6066

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
4128
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4128
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8998854
NC
Enumeration date
07/26/2006
Last updated
02/29/2008
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