Organization
NAI ANNIE WALTER DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAI ANNIE WALTER (PRESIDENT)
(708) 352-1830
Entity
Organization
Contact information
Practice address
6335 JOLIET RD, SUITE 200, COUNTRYSIDE, IL 60525-7427
(708) 352-1830
Mailing address
6335 JOLIET RD, SUITE 200, COUNTRYSIDE, IL 60525-7427
(708) 352-1830
(708) 482-4881
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019017341
IL
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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