Individual
EDWARD JOHN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14314 POTRANCO RD STE 109, SAN ANTONIO, TX 78253-2348
(830) 219-1378
Mailing address
14314 POTRANCO RD STE 109, SAN ANTONIO, TX 78253-2348
(830) 219-1378
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.026166
OH
1223P0221X
Pediatric Dentistry
30.026166
OH
1223P0221X
Pediatric Dentistry
Primary
40912
TX
Other
Enumeration date
06/04/2019
Last updated
08/23/2024
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