Organization
WALKER DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE ANDERSON WALKER D.M.D (COOWNER)
(803) 865-9919
Entity
Organization
Contact information
Practice address
225 LONGTOWN ROAD, COLUMBIA, SC 29229
(803) 865-9919
Mailing address
223 N WOODLAKE DR, COLUMBIA, SC 29229-8919
(803) 865-9919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3984
SC
122300000X
Dentist
Primary
4038
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3984
—
SC
05
—
ZX4038
—
SC
Enumeration date
05/07/2007
Last updated
08/22/2020
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