Organization
MATTHEW E. WALKER PC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW EVANN WALKER DDS (OWNER)
(918) 456-4441
Entity
Organization
Contact information
Practice address
221 E. DOWNING ST., TAHLEQUAH, OK 74464
(918) 456-4441
(918) 456-2523
Mailing address
221 E. DOWNING ST., TAHLEQUAH, OK 74464
(918) 456-4441
(918) 456-2523
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100119300A
—
OK
Enumeration date
08/14/2007
Last updated
12/04/2017
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