Jeremy L Walker Dental Corporation
Dentist, General Practice in Oceanside, CA. Organization (NPI-2).
NPI number1982160560
StatusActive
Last updated in NPPESFeb 19, 2019
Details
- NPI
- 1982160560
- Entity type
- Organization (NPI-2)
- Legal business name
- Jeremy L Walker Dental Corporation
- Organization subpart
- No
- Enumeration date
- Feb 19, 2019
- Last updated
- Feb 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
3870 Mission Ave Ste D4Oceanside, CA 92058-1880
Phone 760-967-8899
Mailing address
3330 3rd Ave Ste 302San Diego, CA 92103-5639
Authorized official
Jeremy Walker
President
2088001239
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