Organization
PARK DENTAL OF OKEMOS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE LEE WALKER JR. DDS (PRESIDENT)
(517) 993-5924
Entity
Organization
Contact information
Practice address
2685 JOLLY RD, OKEMOS, MI 48864-3553
(517) 993-5924
(517) 993-5923
Mailing address
2685 JOLLY RD, OKEMOS, MI 48864-3553
(517) 993-5924
(517) 993-5923
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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