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Search › California › 122300000X

Jon Vandewalker, DDS, MS, FAGD, ABGD

NPI 1366671208 · on the registry since 2009

Practice

Address
23370 Road 22
Chowchilla, CA 93610
Phone
(559) 665-5531
Organisation at this address
Ccwf
Central Ca Women'S Facility
Corrections And Rehabilitation-Headquarters
State Of California Prison Industry Authority
State Of California Prison Industry Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address
53

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
WA, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California