Individual
JARED A WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 W WINNIE LN STE 2, CARSON CITY, NV 89703-2145
(775) 885-2323
(775) 882-8989
Mailing address
600 TECHNOLOGY PARK STE 101, LAKE MARY, FL 32746-7122
(407) 543-8509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7363
NV
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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