Organization
DANIEL C WALTERS JR DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL CLAYBORN WALTERS JR. DDS (PRESIDENT)
(910) 671-4601
Entity
Organization
Contact information
Practice address
580 FARRINGDOM ST, LUMBERTON, NC 28358
(910) 671-4601
(910) 738-9562
Mailing address
580 FARRINGDOM ST, LUMBERTON, NC 28358
(910) 671-4601
(910) 738-9562
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8190
NC
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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