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Contact Information

DR VICTOR L WALSH DMD PA
1313 ASTON AVE
MCCOMB, MS39648-2825
 Phone: 601-684-7921
 Fax: 601-684-7950
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DR VICTOR L WALSH DMD PA · (Female)

NPI Number 1952608846
Status Active
Credentials
Entity Individual
Enumeration date 02/11/2011
Last updated 02/11/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 1619-74
  • MS Medicaid 00063300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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