Individual
DR. ELIZABETH GRACE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1812 BROADWAY ST, MELROSE PARK, IL 60160-2039
(708) 498-4410
(708) 499-1044
Mailing address
4849 N MILWAUKEE AVE STE 403, CHICAGO, IL 60630-2169
(773) 946-2080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-026919
IL
Other
Enumeration date
10/18/2006
Last updated
04/20/2018
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