Organization
WALKER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN A GUZMAN DMD (OWNER)
(623) 977-2551
Entity
Organization
Contact information
Practice address
13660 N 94TH DR, SUITE B-1, PEORIA, AZ 85381-4836
(623) 977-2551
(623) 977-9590
Mailing address
13660 N 94TH DR, SUITE B-1, PEORIA, AZ 85381-4836
(623) 977-2551
(623) 977-9590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6996
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495439
—
AZ
Enumeration date
03/11/2010
Last updated
03/11/2010
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