Organization
JOAN R. WALKER, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN ROULSTON WALKER D.D.S. (CEO)
(816) 795-5626
Entity
Organization
Contact information
Practice address
4025 NE LAKEWOOD WAY STE 200, LEES SUMMIT, MO 64064-1995
(816) 795-5626
Mailing address
4025 NE LAKEWOOD WAY STE 200, LEES SUMMIT, MO 64064-1995
(816) 795-5626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MO015528
MO
Other
Enumeration date
06/28/2007
Last updated
08/22/2020
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