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DR. STEPHEN PHILLIP WALTERS DMD MS

Dental Providers Dentist Periodontics

Provider NPI: 1457476194

Provider Information:
DR. STEPHEN PHILLIP WALTERS DMD MS
Gender: M
Sole Proprietor

Practice Location:
25 DISCOVERY DR  BUTTE, MT 59701 US
Tel: 406-782-7200  Fax: 406-782-7201

Business Mailing Address:
25 DISCOVERY DR  BUTTE, MT 59701 US
Tel: 406-782-7200  Fax: 406-782-7201

NPI Information:
NPI: 1457476194
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0300XDental Providers
Dentist
Periodontics
MT2101

Other Provider Identifiers:

IssuerNumberStateType
DENTIST4571500MT01



American Medical Association 2012 taxonomy code information

Code: 1223P0300X

Type:

Classification:



Definition:



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