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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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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