Individual
DR. WALTER ANTHONY FORMBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
9826 LAKEVIEW PKWY, ROWLETT, TX 75088-4549
(972) 475-9660
(972) 463-0018
Mailing address
9826 LAKEVIEW PKWY, ROWLETT, TX 75088-4549
(972) 475-9660
(972) 463-0018
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16050
TX
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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