| Steven R Walls, Dmd A Professional Corporation | |
|
1010 White Rock Rd Ste 500 El Dorado Hills CA 95762-5627 | |
| (916) 939-0889 | |
| Not Available |
| Full Name | Steven R Walls, Dmd A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1010 White Rock Rd Ste 500, El Dorado Hills, California |
| Authorized Official Name and Position | Steven R Walls (OWNER/CEO) |
| Authorized Official Contact | 9169390889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven R Walls, Dmd A Professional Corporation 6040 Bramblewood Ln Shingle Springs CA 95682-9797 Ph: (916) 939-0889 | Steven R Walls, Dmd A Professional Corporation 1010 White Rock Rd Ste 500 El Dorado Hills CA 95762-5627 Ph: (916) 939-0889 |
| NPI Number | 1871334458 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871334458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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