Individual
DR. GARY DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 S SCHOOL ST, DERMOTT, AR 71638-2127
(870) 538-9720
(870) 538-3710
Mailing address
PO BOX 509, DERMOTT, AR 71638-0509
(870) 538-5414
(870) 538-5412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3627
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152991631
—
AR
Enumeration date
05/14/2007
Last updated
11/08/2011
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