DR. Walter P Vickers JR., D.M.D

NPI #1972525483 in Mobile, Alabama

Provider Information

NPI Number: 1972525483
Entity Type: Individual
Name: DR. Walter P Vickers JR., D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Jul 24, 2006
Last Updated: Mar 30, 2009

Practice Location

Address: 1200 MONTLIMAR DR
City: Mobile
State: Alabama
ZIP Code: 36609-1711
Phone: (251) 342-0380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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