Provider Demographics
NPI:1043799984
Name:WALKER, VICTORIA (DMD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 S MCCLINTOCK DR STE 115
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-3449
Mailing Address - Country:US
Mailing Address - Phone:480-664-2270
Mailing Address - Fax:
Practice Address - Street 1:6200 S MCCLINTOCK DR STE 115
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3449
Practice Address - Country:US
Practice Address - Phone:480-664-2270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-10
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0110221223G0001X
NC111721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice