Individual
DYLAN ROBERT WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(404) 798-7881
Mailing address
1041 BEDFORD DR, AUGUSTA, GA 30904-3168
(404) 798-7881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122486
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/11/2021
Last updated
10/28/2021
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