Individual
DENNIS J WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 S BROAD ST, LANARK, IL 61046-1204
(815) 493-2244
(815) 493-2922
Mailing address
120 S BROAD ST, P.O. BOX 43, LANARK, IL 61046-1204
(815) 493-2244
(815) 493-2922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/03/2007
Last updated
12/20/2007
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