Organization
JEREMY WALKER DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY WALKER DMD (PRESIDENT)
(208) 800-1239
Entity
Organization
Contact information
Practice address
3330 3RD AVE STE 302, SAN DIEGO, CA 92103-5639
(208) 800-1239
Mailing address
1305 GARIBALDI CT, OCEANSIDE, CA 92058-1006
(208) 800-1239
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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