Clint Walker Dental Corporation
Clint Walker Dental Corporation is a Dentist in Costa Mesa, California. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
270 E 17th St Ste 15Costa Mesa, CA 92627-3845
Phone: (714) 224-0480
Fax: (714) 224-0480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X |
|---|
Record details
| NPI number | 1790273829 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clint Walker — Owner · (714) 224-0480 |
| Other names | 17th Street Modern Dentistry Dental Group |
| NPI enumerated | April 24, 2018 |
| Last updated in NPPES | May 11, 2022 |
| Certification date | May 11, 2022 |
| Mailing address | Po Box 920050, Dallas, TX 75392-0050 |
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