Individual
DR. MICHELLE GRAY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1700 W C PL, RUSSELLVILLE, AR 72801
(479) 968-1470
Mailing address
1700 W C PL, RUSSELLVILLE, AR 72801
(479) 968-1470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8413
SC
1223G0001X
General Practice Dentistry
36134
TX
1223G0001X
General Practice Dentistry
Primary
4681
AR
1223G0001X
General Practice Dentistry
8413
SC
1223G0001X
General Practice Dentistry
DD4734
NM
Other
Enumeration date
07/03/2014
Last updated
08/10/2023
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