Walter Dickinson, D.M.D

NPI 1689892572 · on the registry since 2007 · sole proprietor

Practice

Address: 1416 Townview Ln
Santa Rosa, CA 95405
Phone: (707) 578-3010
Fax: (707) 578-0343
Organisation at this address: J. Jay Uemura, D.D.S. A Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Periodontics
1223P0300X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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