| Walker Dental Clinic | |
|
3737 Bryant Ave S Minneapolis MN 55409-1019 | |
| (612) 827-5931 | |
| (612) 827-8458 |
| Full Name | Walker Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3737 Bryant Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Todd Willett (CFO) |
| Authorized Official Contact | 6128278382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walker Dental Clinic 3737 Bryant Ave S Minneapolis MN 55409-1019 Ph: (612) 827-5931 | Walker Dental Clinic 3737 Bryant Ave S Minneapolis MN 55409-1019 Ph: (612) 827-5931 |
| NPI Number | 1023238144 |
|---|---|
| Provider Enumeration Date | 04/30/2007 |
| Last Update Date | 01/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023238144 | NPI | - | NPPES |
| 202742900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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