Individual
DR. JOHN M WALGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
641 KEN PRATT BLVD, LONGMONT, CO 80501-6419
(303) 651-2700
Mailing address
641 KEN PRATT BLVD, LONGMONT, CO 80501-6419
(303) 651-2700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8615
CO
Other
Enumeration date
08/04/2005
Last updated
07/08/2007
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