Organization
FARGO MOORHEAD DENTAL & DENTURES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVIN WALKER WALKER DDS (OWNER)
(701) 281-8000
Entity
Organization
Contact information
Practice address
4302 13TH AVE S, SUITE 10, FARGO, ND 58103-3395
(701) 281-8000
Mailing address
4302 13TH AVE S, SUITE 10, FARGO, ND 58103-3395
(701) 281-8000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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