NPI 1366028268

Walter Daniel Roland

Practitioner Dental Laboratory Technician Fort Carson, CO

Practice location

Address: 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603
Phone: (719) 526-5537

Registered specialties

Dental Laboratory Technician Primary

Dental Providers Taxonomy 126900000X

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Registry record

NPI: 1366028268
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2021
Record last updated: 22 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.