Organization
WALTON DENTAL, PLLC
Active
Other names
Walton Blvd. Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MCBAY (CREDENTIALING MANAGER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
104 S WALTON BLVD, BENTONVILLE, AR 72712-5747
(479) 273-3757
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 988-0996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
02/18/2020
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