Individual
DR. WALTER REED DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1416 TOWNVIEW LN, SANTA ROSA, CA 95405
(707) 578-3010
(707) 578-0343
Mailing address
1416 TOWNVIEW LN, SANTA ROSA, CA 95405
(707) 578-3010
(707) 578-0343
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30926
CA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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