John S Walkerdmd Prof LLC

NPI #1871915496 in Boulder, Colorado

Provider Information

NPI Number: 1871915496
Entity Type: Organization
Organization Name: John S Walkerdmd Prof LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jan 16, 2014
Last Updated: Jan 16, 2014

Practice Location

Address: 350 BROADWAY ST STE 120
City: Boulder
State: Colorado
ZIP Code: 80305-3300
Phone: (303) 494-3535

Authorized Official

Name: CHRISTY GALITZ
Title: MANAGER
Phone: (303) 494-3535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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