Individual
ANN M WALCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2138 MADISON AVE, TOLEDO, OH 43604
(419) 241-1644
(419) 249-6581
Mailing address
2138 MADISON AVE, TOLEDO, OH 43604
(419) 241-1644
(419) 249-6581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
021879
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2539186
—
OH
Enumeration date
04/02/2007
Last updated
07/08/2007
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