Organization
RANDY P WALTERS, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY P WALTERS DMD (PRESIDENT)
(334) 636-2713
Entity
Organization
Contact information
Practice address
632 W FRONT ST N, THOMASVILLE, AL 36784-5316
(334) 636-2713
Mailing address
632 W FRONT ST N, THOMASVILLE, AL 36784-5316
(334) 636-2713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AL4981
AL
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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