Individual
DR. JERRY L WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4303 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4334
(253) 564-5545
(253) 564-5589
Mailing address
4303 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4334
(253) 564-5545
(253) 564-5589
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00003747
WA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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