Individual
DR. TONY J DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1055 RUTH ST, SUITE 7, PRESCOTT, AZ 86301-1740
(928) 445-5600
(928) 778-3898
Mailing address
1055 RUTH ST, SUITE 7, PRESCOTT, AZ 86301-1740
(928) 445-5600
(928) 778-3898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4857
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4857
DENTAL LICENSE
AZ
Enumeration date
09/14/2006
Last updated
07/08/2007
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