MR. Gary Warren Walsh JR., D.M.D
NPI #1053536599 in Columbia, South Carolina
Provider Information
- NPI Number
- 1053536599
- Entity Type
- Individual
- Name
- MR. Gary Warren Walsh JR., D.M.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5 LAKE CAROLINA BLVD
- Address 2
- SUITE 210
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29229-7561
- Phone
- (803) 736-8606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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