MEDICARE: DR. VICTORIA WALKER DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	011022	AZ
2	1223G0001X	General Practice Dentistry	11172	NC

General Provider Information

NPI Number	:	1043799984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA WALKER DMD

Provider Business Mailing Address
First Line	:	6200 S MCCLINTOCK DR STE 115
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-3449
Country	:	US
Telephone Number	:	480-664-2270
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 S MCCLINTOCK DR STE 115
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-3449
Country	:	US
Telephone Number	:	480-664-2270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2018
Last Update Date	:	01/02/2023

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Directions to “ DR. VICTORIA WALKER DMD” Practice Location

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