| NPI | 1114326832 |
|---|---|
| Doing Business As | WALTON BLVD DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERIN BARKER Office Administrator 479-273-3757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |