Individual
DR. WALTER GOINGCO DIMALANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
309 E 2ND ST, POMONA, CA 91766-1854
(909) 623-6116
Mailing address
309 E 2ND ST, POMONA, CA 91766-1854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DDS111201
CA
1223G0001X
General Practice Dentistry
DE00009954
WA
1223P0700X
Prosthodontics
Primary
DDS111201
CA
1223P0700X
Prosthodontics
DE00009954
WA
Other
Enumeration date
12/19/2005
Last updated
06/20/2025
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