Individual
GREGORY WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HOSPITAL DENTISTRY, WESTCHESTER HALL RM. 151, STONY BROOK, NY 11794-8711
(631) 444-2557
(631) 444-6013
Mailing address
345 LINGERING LN, HENDERSON, NV 89012-3263
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
33390
TX
Other
Enumeration date
06/20/2014
Last updated
09/29/2017
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