Individual
DR. ZACK WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2010 E ELLIOT RD STE 105, TEMPE, AZ 85284-1790
(480) 360-9170
Mailing address
1224 E MCMURRAY BLVD, CASA GRANDE, AZ 85122-3616
(520) 208-1092
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D011431
AZ
1223G0001X
General Practice Dentistry
Primary
D011431
AZ
Other
Enumeration date
06/21/2022
Last updated
06/30/2022
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