DR. Walter Vincent Samuel, D.D.S. is a student in an organized health care education training program in Fargo, ND. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Walter Vincent Samuel, D.D.S. NPI is 1891920542. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2605 64TH AVE S
FARGO, ND
ZIP 58104-403
Phone: (701) 799-4381
The NPI 1891920542 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 5/26/2009 and was last updated on 5/26/2009.