Individual
DR. MARY HAGAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2260 NORTH AVE, BRIDGEPORT, CT 06604-2413
(316) 258-4484
Mailing address
2 GREGORY BLVD, NORWALK, CT 06855-2021
(316) 258-4484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010571
CT
Other
Enumeration date
07/11/2011
Last updated
08/10/2011
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