Individual
DR. DONOVAN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
4430
WV
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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