Organization
DR VICTOR L WALSH DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR L WALSH D.M.D (OWNER/DOCTOR)
(601) 684-7921
Entity
Organization
Contact information
Practice address
1313 ASTON AVE, MCCOMB, MS 39648-2825
(601) 684-7921
(601) 684-7950
Mailing address
1313 ASTON AVE, MCCOMB, MS 39648-2825
(601) 684-7921
(601) 684-7950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1619-74
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00063300
—
MS
Enumeration date
02/11/2011
Last updated
02/11/2011
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