| Walter Dental | |
|
236 W Badillo St Covina CA 91723-1906 | |
| (626) 339-7012 | |
| Not Available |
| Full Name | Walter Dental |
|---|---|
| Speciality | Preferred Provider Organization |
| Location | 236 W Badillo St, Covina, California |
| Authorized Official Name and Position | Walter Rong (DENTIST) |
| Authorized Official Contact | 6263397012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Dental 236 W Badillo St Covina CA 91723-1906 Ph: (626) 339-7012 | Walter Dental 236 W Badillo St Covina CA 91723-1906 Ph: (626) 339-7012 |
| NPI Number | 1578802450 |
|---|---|
| Provider Enumeration Date | 02/12/2013 |
| Last Update Date | 11/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578802450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 305R00000X | Preferred Provider Organization | 50094 (California) | Primary |
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