Individual
DR. WALTER J DENHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
728 E. WHITE MOUNTAIN BLVD., SUITE D, PINETOP, AZ 85935
(928) 367-5111
(928) 367-6442
Mailing address
PO BOX 2040, PINETOP, AZ 85935-2040
(928) 367-5111
(928) 367-6442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3230
AZ
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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