DR. Jerry H Walker, DMD

NPI #1154310373 in Soda Springs, Idaho

Provider Information

NPI Number: 1154310373
Entity Type: Individual
Name: DR. Jerry H Walker, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 20, 2005
Last Updated: May 26, 2009

Practice Location

Address: 390 SOUTH 3RD WEST
City: Soda Springs
State: Idaho
ZIP Code: 83276
Phone: (208) 547-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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