Dudley Jennings Walker Jr., dmd
Dentist, General Practice in Columbia, SC. Individual provider (NPI-1).
NPI number1043301351
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1043301351
- Entity type
- Individual (NPI-1)
- Name
- Dudley Jennings Walker Jr.
- Credential
- dmd
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4038 | SC | Yes |
Practice location
223 N Woodlake DrColumbia, SC 29229-8919
Phone 803-865-9919
Mailing address
223 N Woodlake DrColumbia, SC 29229-8919
Phone 803-865-0926
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