| Nai Annie Walter Dds,pc | |
|
6335 Joliet Rd Suite 200 Countryside IL 60525-7427 | |
| (708) 352-1830 | |
| Not Available |
| Full Name | Nai Annie Walter Dds,pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6335 Joliet Rd, Countryside, Illinois |
| Authorized Official Name and Position | Nai Annie Walter (PRESIDENT) |
| Authorized Official Contact | 7083521830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nai Annie Walter Dds,pc 6335 Joliet Rd Suite 200 Countryside IL 60525-7427 Ph: (708) 352-1830 | Nai Annie Walter Dds,pc 6335 Joliet Rd Suite 200 Countryside IL 60525-7427 Ph: (708) 352-1830 |
| NPI Number | 1922417666 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 08/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922417666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019017341 (Illinois) | Primary |
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