Organization
DONALD E. WALTER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD WALTER DDS (DENTIST)
(304) 242-9550
Entity
Organization
Contact information
Practice address
1 PARK VIEW LN, WHEELING, WV 26003-5442
(304) 242-9550
Mailing address
1 PARK VIEW LN, WHEELING, WV 26003-5442
(304) 242-9550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275689572
—
WV
Enumeration date
11/07/2019
Last updated
11/07/2019
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