Individual
WALTER CLARK JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2540 S SAN TAN VILLAGE PKWY STE 104, GILBERT, AZ 85295-0301
(480) 892-5089
Mailing address
2540 S SAN TAN VILLAGE PKWY STE 104, GILBERT, AZ 85295-0301
(480) 892-5089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011472
AZ
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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