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Dr. Walter Reed Dickinson, DMD
Periodontist in Santa Rosa, California
NPI 1689892572

Walter Reed Dickinson is a Periodontist based in Santa Rosa, CA and is specialized in Periodontics. Walter Reed Dickinson practices in Santa Rosa, CA and has the professional credentials of DMD. The NPI Number for Walter Reed Dickinson is 1689892572 and holds a License No. 30926 (California).

The current practice location address for Walter Reed Dickinson is 1416 Townview Ln, Santa Rosa, CA and can be reached out via phone at 707-578-3010 and via fax at 707-578-0343.

Location: 1416 Townview Ln, Santa Rosa, CA, 95405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689892572
Provider Name
Walter Reed Dickinson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1416 Townview Ln, Santa Rosa, CA, 95405
Phone Number
707-578-3010
Fax Number
707-578-0343
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1416 Townview Ln
City
Santa Rosa
State
California
Zip
95405
Phone Number
707-578-3010
Fax Number
707-578-0343
person
Provider Business Mailing Address Details
Address
1416 Townview Ln
City
Santa Rosa
State
California
Zip
95405
Phone Number
707-578-3010
Fax Number
707-578-0343
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
30926 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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