| NPI | 1659482206 |
|---|---|
| Former Legal Business Name | WALTON DENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | SHAWN R WALTON Dentist 712-255-7607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IA 07610) |
| Additional Taxonomies | 122300000X Dentist (Licence: IA 08441) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |