Individual
DR. RUSSEL E. DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8066 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-9422
(928) 772-2474
(928) 772-5838
Mailing address
8066 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-9422
(928) 772-2474
(928) 772-5838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3948
AZ
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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