Organization
JOHN S WALKERDMD PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY GALITZ (MANAGER)
(303) 494-3535
Entity
Organization
Contact information
Practice address
350 BROADWAY ST STE 120, BOULDER, CO 80305-3300
(303) 494-3535
(303) 494-5095
Mailing address
350 BROADWAY ST STE 120, BOULDER, CO 80305-3300
(303) 494-3535
(303) 494-5095
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
105355
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2053551
—
CO
Enumeration date
01/16/2014
Last updated
01/16/2014
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