Organization
KHALFANI WALKER, DMD, LLC
Active
Other names
Elite Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
KHALFANI D WALKER DMD (OWNER/DENTIST)
(301) 622-0484
Entity
Organization
Contact information
Practice address
11175 GEORGIA AVE, UNIT A, WHEATON, MD 20902-4605
(301) 622-0484
Mailing address
11175 GEORGIA AVE, UNIT A, WHEATON, MD 20902-4605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14525
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942468590
INDIVIDUAL NPI
MD
Enumeration date
05/31/2012
Last updated
05/31/2012
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