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Individual

DR. WALTER JACKSON GARNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1200 20TH ST S, SUITE 202, BIRMINGHAM, AL 35205-3859
(205) 930-9797
(205) 930-9799
Mailing address
1200 20TH ST S, SUITE 202, BIRMINGHAM, AL 35205-3859
(205) 930-9797
(205) 930-9799

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5113
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5113
ALABAMA DENTAL LICENCE
AL
Enumeration date
11/09/2006
Last updated
07/08/2007
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