Individual
DR. CAMPBELL WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2380 N TRUMAN BLVD, CRYSTAL CITY, MO 63019-1037
(636) 937-9193
(314) 200-9691
Mailing address
4337 BUTLER HILL RD STE L, SAINT LOUIS, MO 63128-3735
(314) 732-4591
(314) 200-9691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031733
IL
122300000X
Dentist
2016025042
MO
Other
Enumeration date
08/10/2016
Last updated
12/19/2018
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