Organization
SOUTHSIDE DENTAL CARE, INC. P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD THOMAS WALTERS DDS (PRESIDENT)
(360) 752-9000
Entity
Organization
Contact information
Practice address
1215 OLD FAIRHAVEN PKWY, SUITE #A, BELLINGHAM, WA 98225-7444
(360) 752-9000
(360) 752-9846
Mailing address
1215 OLD FAIRHAVEN PKWY, SUITE #A, BELLINGHAM, WA 98225-7444
(360) 752-9000
(360) 752-9846
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7450
WA
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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