DR. Jon Peter Vandewalker, DDS, MS, FAGD, ABGD

NPI #1366671208 in Loomis, California

Provider Information

NPI Number: 1366671208
Entity Type: Individual
Name: DR. Jon Peter Vandewalker, DDS, MS, FAGD, ABGD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS, MS, FAGD, ABGD
Enumeration Date: Jul 14, 2009
Last Updated: Dec 1, 2017

Practice Location

Address: 6135 KING RD STE B
City: Loomis
State: California
ZIP Code: 95650-8877
Phone: (916) 652-5863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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