Dimalanta, Walter Goingco
Dimalanta, Walter Goingco is an individual health care provider with primary practice located at 228 E Hospital Rd Bldg 320 , Fort Gordon GA 30905. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is his primary health care specialty. Dimalanta, Walter Goingco can be contacted via phone (706) 787-5102.Contact Information
Primary practice address
228 E Hospital Rd Bldg 320
Fort Gordon GA 30905
Phone: (706) 787-5102
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00009954 | Washington |
| Dental Providers / Prosthodontics | 1223P0700X | DE00009954 | Washington |
Profile Details
| NPI number | 1417933896 |
|---|---|
| LBN Legal business name | Dimalanta, Walter Goingco |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Jan 29th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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