Individual
DR. VICTOR L. WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1313 ASTON AVE, MCCOMB, MS 39648-2825
(601) 684-7921
(601) 684-7950
Mailing address
1313 ASTON AVE, MCCOMB, MS 39648-2825
(601) 684-7921
(601) 684-7950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1619-74
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00063300
—
MS
Enumeration date
01/03/2007
Last updated
07/08/2007
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